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South Carolina rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $10,000.00 / $63,095.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $15,488.17 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,417.38 / $25,703.96