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South Carolina rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.57 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.22 / $1,095.57 / $1,565.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.49 / $729.49 / $729.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.61 / $1,245.00 / $2,189.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.46 / $1,302.06 / $2,381.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.62 / $1,251.85 / $2,159.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.84 / $793.97 / $1,423.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.35 / $1,313.20 / $2,334.10