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South Carolina rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.72 / $6,673.80 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,068.89 / $7,707.61 / $13,770.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.01 / $1,334.00 / $2,143.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00