go back

South Carolina rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $15,307.00 / $29,246.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.99 / $1,239.83 / $1,775.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,218.88 / $11,171.66 / $18,562.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.78 / $1,450.00 / $2,568.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,229.55 / $6,229.55 / $8,005.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.23 / $1,532.74 / $2,677.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.45 / $1,507.68 / $2,426.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.55 / $5,511.66 / $6,129.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.84 / $865.50 / $1,548.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,766.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.71 / $1,535.24 / $2,750.62