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South Carolina rates for HCPCS 53080

Drg Perineal Urinary Xtrvasation Uncomp Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.95 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.37 / $512.95 / $656.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.34 / $4,588.63 / $8,041.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.14 / $521.00 / $916.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.98 / $401.98 / $516.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.17 / $596.99 / $1,095.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.43 / $607.00 / $928.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.65 / $469.37 / $947.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.31 / $438.54 / $701.14
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
$402.09 / $652.02 / $1,189.60