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South Carolina rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.44 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.93 / $1,004.44 / $1,437.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.00 / $933.60 / $1,383.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.60 / $1,221.77 / $2,170.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.96 / $1,219.00 / $1,942.92
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
$852.83 / $1,225.33 / $2,199.10