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South Carolina rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,035.74 / $18,276.00 / $39,677.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,559.03 / $18,416.99
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
$1,221.07 / $1,643.10 / $2,825.47
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$327.19 / $328.62 / $603.86
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$229.04 / $230.03 / $422.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00