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South Carolina rates for HCPCS 58572

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $13,803.84 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,964.78 / $19,054.61
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
$977.24 / $1,445.44 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,417.38 / $25,703.96