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South Carolina rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.73 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.95 / $319.73 / $704.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.51 / $4,808.76 / $7,943.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.26 / $428.00 / $752.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.29 / $2,130.29 / $2,737.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.27 / $377.09 / $691.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.45 / $393.00 / $605.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.76 / $1,884.79 / $2,096.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.75 / $321.48 / $508.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.89 / $384.91 / $765.63