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South Carolina rates for HCPCS 51925

Clsr Vesicouterine Fistula W/Hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.68 / $2,752.01 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.61 / $1,324.68 / $1,704.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.39 / $1,301.00 / $2,287.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.81 / $1,424.66 / $2,776.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.61 / $1,412.63 / $2,251.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $900.94 / $1,614.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.13 / $1,473.07 / $2,843.77