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South Carolina rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.57 / $19.57 / $19.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.61 / $75.69 / $130.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $76.61 / $116.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $98.40 / $196.73
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.00 / $40.00 / $69.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.33 / $294.33 / $294.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.97 / $69.55 / $102.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.39 / $97.86 / $176.23