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South Carolina rates for HCPCS 58140

Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.64 / $11,633.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.11 / $1,032.64 / $2,098.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.43 / $6,668.46 / $9,095.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.00 / $1,026.47 / $1,714.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.21 / $1,238.79 / $2,203.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.72 / $1,211.00 / $1,996.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $826.08 / $1,359.98
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
$871.91 / $1,256.28 / $2,247.87