go back

South Carolina rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.69 / $8,716.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.86 / $1,377.69 / $3,333.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,969.35 / $10,417.68 / $17,689.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.35 / $1,515.00 / $2,844.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.41 / $1,687.76 / $2,972.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.03 / $1,672.37 / $2,714.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.80 / $976.34 / $1,757.57
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
$1,117.66 / $1,700.73 / $3,543.75