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South Carolina rates for HCPCS 58925

Ovarian Cystectomy Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.10 / $5,107.20 / $14,644.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.52 / $7,707.61 / $13,640.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.09 / $974.17 / $1,636.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00