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South Carolina rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.21 / $6,660.85 / $17,418.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.00 / $1,649.51 / $3,926.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.48 / $407.48 / $407.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.64 / $6,704.35 / $13,949.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.78 / $698.22 / $2,398.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.77 / $2,831.77 / $3,638.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.30 / $681.24 / $3,661.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.11 / $1,207.08 / $3,442.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.17 / $2,505.44 / $3,009.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.24 / $2,188.20 / $3,409.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.73 / $2,838.35 / $5,304.22