go back

South Carolina rates for HCPCS 58805

Drainage Ovarian Cyst Uni/Bi Spx Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.56 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.57 / $473.56 / $677.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.52 / $7,726.16 / $13,770.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.71 / $634.00 / $908.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.29 / $2,130.29 / $2,737.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.31 / $545.19 / $1,023.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.55 / $542.23 / $887.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.64 / $1,884.79 / $2,096.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $354.31 / $607.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.20 / $562.53 / $1,009.56