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South Carolina rates for HCPCS 57291

Construction of artificial vagina; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $10,000.00 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,585.78 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,071.52