go back

South Carolina rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.60 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.53 / $607.60 / $869.65
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
$509.72 / $688.00 / $1,209.71
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
$564.69 / $740.00 / $1,315.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.78 / $714.00 / $1,336.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.64 / $2,505.44 / $3,009.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $472.27 / $786.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $744.73 / $1,309.08