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South Carolina rates for HCPCS 57289

Pereyra Px W/Anterior Colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.74 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.96 / $877.74 / $1,257.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.52 / $7,726.16 / $13,770.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.02 / $864.28 / $1,371.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,971.55 / $3,971.55 / $5,103.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.73 / $1,003.58 / $1,896.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.99 / $977.00 / $1,660.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.64 / $3,513.88 / $4,487.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $708.91 / $1,182.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.16 / $1,075.36 / $1,892.02