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South Carolina rates for HCPCS 51705

Change Cystostomy Tube Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.08 / $714.49 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $94.32 / $166.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.87 / $105.54 / $134.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.01 / $498.14 / $821.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $88.32 / $140.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.61 / $78.61 / $101.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $114.70 / $192.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.73 / $117.94 / $179.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.04 / $69.54 / $102.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $112.28 / $174.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $135.19 / $252.90