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South Carolina rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.31 / $11,025.00 / $22,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.59 / $809.31 / $1,157.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,132.63 / $10,843.93 / $18,636.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.18 / $814.33 / $1,163.92
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
$795.68 / $994.10 / $1,747.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.88 / $1,052.76 / $1,578.53
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
$71.48 / $680.75 / $1,138.15
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
$701.90 / $1,009.51 / $1,783.81