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South Carolina rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Facilitymedian $724 · 10th–90th $661–$1,4790%10%20%10th90th$724Professionalmedian $661 · 10th–90th $30–$6610%50%10th$661$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $724.44 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $67.61