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South Carolina rates for HCPCS 57320

Closure Vesicovaginal Fistula Vaginal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.32 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.47 / $625.32 / $1,443.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.52 / $7,707.61 / $13,640.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.77 / $884.00 / $1,554.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $2,831.77 / $3,638.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.88 / $742.54 / $1,350.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.88 / $711.32 / $1,253.71
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 / $510.65 / $839.76
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
$525.01 / $740.76 / $1,329.42