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South Carolina rates for HCPCS 57296

Revj W/Rmvl Prosthetic Vaginal Graft Abdml Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.17 / $2,524.79 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.91 / $1,061.17 / $1,516.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,885.17 / $2,885.17 / $8,189.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.09 / $1,069.93 / $1,810.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.92 / $1,284.32 / $2,290.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.91 / $1,221.42 / $2,051.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $826.08 / $1,388.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.24 / $1,310.51 / $2,298.73