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South Carolina rates for HCPCS 57310

Closure of urethrovaginal fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.84 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.06 / $541.84 / $774.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,969.35 / $10,543.58 / $17,699.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.73 / $552.04 / $973.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $3,971.55 / $5,103.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.71 / $639.38 / $1,178.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.75 / $616.15 / $1,038.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.78 / $3,513.88 / $4,487.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $456.03 / $745.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $17,333.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.86 / $649.79 / $1,164.40