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South Carolina rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.83 / $657.41 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.57 / $254.14 / $406.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.92 / $725.99 / $1,277.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.03 / $353.00 / $1,116.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.50 / $207.50 / $266.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $322.73 / $545.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.56 / $327.51 / $495.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $183.58 / $230.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.84 / $301.75 / $469.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,178.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.60 / $340.35 / $610.82