go back

South Carolina rates for HCPCS 58294

Vaginal Hysterectomy >250 Gm Rpr Enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.38 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.84 / $1,348.38 / $1,927.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,969.35 / $10,543.58 / $17,699.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.83 / $1,471.00 / $2,606.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.18 / $1,646.79 / $2,908.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.05 / $1,636.82 / $2,621.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.68 / $956.25 / $1,724.53
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
$1,151.11 / $1,658.87 / $3,222.65