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South Carolina rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.07 / $4,524.88 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.59 / $1,995.07 / $2,559.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.37 / $2,323.00 / $4,084.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.14 / $2,284.44 / $4,278.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.59 / $2,169.60 / $3,623.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.84 / $1,342.20 / $2,412.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.80 / $2,285.60 / $4,097.88