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South Carolina rates for HCPCS 58740

Lysis Of Adhesions Salpinx/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.83 / $8,960.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.88 / $3,197.20 / $4,450.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.56 / $1,159.00 / $1,947.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00