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South Carolina rates for HCPCS 57295

Revision (including removal) of prosthetic vaginal graft; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.43 / $4,357.50 / $15,726.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,112.75 / $4,464.22 / $7,881.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.29 / $2,130.29 / $2,737.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.14 / $669.28 / $1,050.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00