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South Carolina rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.10 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.61 / $708.10 / $906.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,339.08 / $5,895.33 / $10,114.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.95 / $796.00 / $1,399.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.14 / $814.34 / $1,508.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.61 / $778.91 / $1,278.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.21 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $531.42 / $886.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.08 / $787.76 / $1,534.66