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South Carolina rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.20 / $9,062.00 / $17,247.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.95 / $1,766.00 / $3,028.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00