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South Carolina rates for HCPCS 57335

Vaginoplasty Intersex State

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.08 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.05 / $1,303.08 / $1,864.08
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
$847.00 / $1,110.67 / $1,691.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.33 / $1,605.59 / $2,812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.20 / $1,546.00 / $2,502.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.11 / $910.26 / $1,627.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $10,069.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.63 / $1,613.56 / $3,116.61