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South Carolina rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.92 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.90 / $1,006.92 / $1,441.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.15 / $1,158.27 / $3,057.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.71 / $1,238.78 / $2,175.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.62 / $1,240.00 / $2,037.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $808.09 / $1,346.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.70 / $1,233.66 / $2,410.34