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South Carolina rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.18 / $11,671.80 / $23,025.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,862.64 / $18,562.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,229.55 / $6,229.55 / $8,005.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.50 / $1,449.72 / $2,371.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,766.00 / $19,526.00 / $24,161.00