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South Carolina rates for HCPCS 37788

Penile Revascularization Artery W/Wo Vein Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,740.47 / $3,481.66 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.03 / $1,740.47 / $1,971.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,644.33 / $8,644.33 / $8,644.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.92 / $1,923.00 / $3,146.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.00 / $1,744.75 / $2,808.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.37 / $1,963.00 / $2,953.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.74 / $1,212.51 / $1,948.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.25 / $1,879.82 / $3,319.01