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South Carolina rates for HCPCS 57250

Post Colporrhaphy Rectocele W/Wo Perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.43 / $9,300.29 / $21,932.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,232.15 / $7,593.41 / $13,286.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,831.77 / $3,638.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.00 / $784.52 / $1,299.43
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$100.80 / $166.88 / $220.38
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$70.56 / $116.82 / $154.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00