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South Carolina rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.26 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.11 / $280.26 / $401.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.56 / $4,471.00 / $7,943.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.11 / $357.00 / $627.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.29 / $2,130.29 / $2,737.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.77 / $344.02 / $605.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.07 / $365.00 / $575.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.76 / $1,884.79 / $2,096.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.18 / $267.17 / $426.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.10 / $344.61 / $614.04