go back

South Carolina rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,572.50 / $2,866.50 / $17,428.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.50 / $2,866.50 / $3,197.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $3,675.00 / $5,025.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,678.95 / $9,053.36 / $20,954.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,866.50 / $3,675.00 / $4,643.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $2,205.00 / $3,675.00