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South Carolina rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.05 / $9,062.00 / $29,103.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $411.05 / $903.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,076.01 / $10,663.21 / $18,562.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.88 / $507.00 / $952.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.40 / $3,639.40 / $4,676.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.27 / $490.66 / $889.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $493.00 / $834.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.10 / $3,220.00 / $3,722.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.51 / $363.66 / $580.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.67 / $496.39 / $890.85