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South Carolina rates for HCPCS 57023

I&D Vaginal Hematoma Non-Obstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.59 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.36 / $353.59 / $827.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.73 / $4,434.97 / $7,645.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $296.60 / $405.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.27 / $1,529.27 / $1,965.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $417.78 / $765.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.08 / $403.00 / $673.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.45 / $1,353.04 / $1,606.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.84 / $327.72 / $523.49
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
$298.89 / $421.68 / $765.16