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South Carolina rates for HCPCS 59121

Tx Ectopic Pregnancy W/O Salping&/Oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.35 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.41 / $933.35 / $1,279.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.00 / $794.40 / $1,384.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.46 / $1,053.06 / $1,415.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.60 / $968.86 / $1,759.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.39 / $541.31 / $1,071.46
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
$756.09 / $1,107.58 / $1,923.87