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South Carolina rates for HCPCS 58340

Cath & Saline/Contrast Sonohyster/Hysterosalpi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.53 / $504.90 / $7,796.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $139.47 / $477.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.05 / $61.74 / $372.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.28 / $111.25 / $207.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.84 / $107.11 / $328.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.55 / $152.29 / $411.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.83 / $200.00 / $405.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.05 / $901.05 / $901.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.41 / $245.73 / $366.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.04 / $213.72 / $436.35