go back

South Carolina rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.29 / $108.29 / $108.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.29 / $114.55 / $128.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.93 / $956.93 / $956.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.63 / $169.00 / $244.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.80 / $204.11 / $696.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.01 / $166.52 / $305.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.29 / $174.00 / $231.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.13 / $150.00 / $217.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $40.55 / $63.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.58 / $146.07 / $236.51