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South Carolina rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $14,791.08 / $31,622.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,232.93 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,202.26
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
$741.31 / $977.24 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,659.59
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
$660.69 / $870.96 / $1,380.38