go back

South Carolina rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.43 / $11,025.00 / $22,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.86 / $900.43 / $2,177.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,625.55 / $8,816.62 / $24,281.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.95 / $1,321.00 / $2,322.71
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
$896.68 / $1,119.73 / $1,943.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.96 / $1,103.80 / $1,754.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,832.16 / $5,511.66 / $6,129.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $712.24 / $1,189.56
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
$726.41 / $1,114.96 / $2,069.44