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South Carolina rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.88 / $5,721.10 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.16 / $370.28 / $591.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.12 / $480.54 / $480.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,491.90 / $2,567.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.45 / $418.63 / $755.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.77 / $2,831.77 / $3,638.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.84 / $499.54 / $799.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.51 / $529.54 / $803.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.42 / $2,505.44 / $3,009.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.34 / $449.48 / $699.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $3,866.00 / $7,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.79 / $539.72 / $1,068.88