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South Carolina rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.67 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.86 / $1,274.67 / $1,822.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,957.14 / $10,543.58 / $17,689.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.68 / $1,375.00 / $2,417.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.20 / $1,555.71 / $2,751.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.24 / $1,542.00 / $2,484.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.11 / $886.42 / $1,599.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.80 / $1,569.83 / $2,800.63