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South Carolina rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $10,000.00 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,585.78 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,988.33