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South Carolina rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.70 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.82 / $930.70 / $1,191.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.62 / $953.00 / $1,675.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.79 / $1,067.51 / $1,990.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.82 / $1,019.73 / $1,683.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $706.75 / $1,165.46
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
$731.19 / $1,035.40 / $2,014.23