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South Carolina rates for HCPCS 51050

Cystolithotomy Cystotomy W/Rmvl Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.36 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,339.08 / $5,867.32 / $10,114.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,208.42 / $3,208.42 / $4,122.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.10 / $632.90 / $1,041.67
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$105.60 / $126.53 / $178.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00