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South Carolina rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $13,182.57 / $31,622.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $10,000.00 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $512.86 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $691.83