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South Carolina rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.40 / $11,025.00 / $22,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.25 / $878.40 / $1,254.80
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
$657.00 / $788.40 / $1,252.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,229.55 / $6,229.55 / $8,005.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.97 / $1,077.23 / $1,896.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.25 / $1,136.00 / $1,715.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.10 / $3,722.79 / $5,511.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $725.56 / $1,211.75
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
$718.50 / $1,087.69 / $1,937.81