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South Carolina rates for HCPCS 57426

Revision Prosthetic Vaginal Graft Laparoscopic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.08 / $9,062.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.00 / $4,471.00 / $7,943.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,971.55 / $3,971.55 / $5,103.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.96 / $1,104.95 / $1,846.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00