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South Carolina rates for HCPCS 52310

Cysto W/Simple Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.03 / $4,357.50 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.61 / $314.02 / $757.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.42 / $75.42 / $75.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $3,020.97 / $7,080.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.31 / $305.00 / $631.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,221.33 / $1,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.21 / $307.75 / $632.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.38 / $325.54 / $578.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.89 / $1,080.58 / $1,286.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.95 / $336.84 / $523.40
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
$238.48 / $399.51 / $684.90