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South Carolina rates for HCPCS 58679

Unlisted Laparoscopy Procedure Oviduct Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $8,876.00 / $21,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.40 / $1,453.92 / $1,453.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,296.03 / $9,137.42 / $14,940.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00