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South Carolina rates for HCPCS 58540

Hysteroplasty Rpr Uterine Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.90 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.78 / $1,014.90 / $1,452.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,995.89 / $16,995.89 / $16,995.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.00 / $950.40 / $1,408.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.41 / $1,221.81 / $2,193.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.87 / $1,202.00 / $1,960.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $826.08 / $1,359.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.69 / $1,237.72 / $2,221.32