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South Carolina rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.47 / $5,192.00 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.30 / $434.05 / $793.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.93 / $4,499.91 / $7,413.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $331.63 / $481.38
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
$330.56 / $486.00 / $875.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.35 / $517.00 / $703.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.89 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.37 / $488.43 / $762.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.84 / $575.87 / $1,144.73