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South Carolina rates for HCPCS 57150

Irrigation Vagina&/Appl Medicament Tx Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.57 / $78.09 / $264.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $52.62 / $93.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.58 / $365.09 / $600.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $51.10 / $79.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $59.08 / $104.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $60.70 / $96.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $27.23 / $27.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $75.30 / $118.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $72.25 / $126.73