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South Carolina rates for HCPCS 57109

Vagnc Prtl Rmvl Vag Wall W/Bi Tot Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.56 / $4,664.43 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.00 / $1,903.56 / $2,722.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,543.00 / $7,726.16 / $13,770.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.71 / $1,970.00 / $3,463.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.84 / $2,330.76 / $4,137.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.03 / $2,129.00 / $3,900.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.31 / $1,341.60 / $2,407.71
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
$1,637.12 / $2,145.23 / $4,123.22