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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
$586.73 / $8,960.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,068.89 / $7,593.41 / $13,640.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.77 / $2,831.77 / $3,638.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $671.65 / $1,115.48
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$127.77 / $133.40 / $205.80
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.58 / $93.38 / $144.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00