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South Carolina rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $10,964.78 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,677.35 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,988.33