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South Carolina rates for HCPCS 57292

Construction Artificial Vagina W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.22 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.50 / $917.22 / $1,311.20
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
$767.81 / $1,014.00 / $1,782.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.73 / $1,114.51 / $1,979.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.63 / $1,115.00 / $1,925.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $714.57 / $1,199.56
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
$777.26 / $1,088.85 / $2,000.79