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South Carolina rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.33 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.63 / $909.33 / $1,300.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,189.70 / $8,189.70 / $8,189.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.00 / $799.18 / $1,528.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.03 / $1,094.50 / $1,962.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.91 / $1,107.00 / $1,752.69
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
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.09 / $1,106.03 / $1,984.97