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South Carolina rates for HCPCS 37790

Penile Venous Occlusive Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.99 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.26 / $669.99 / $757.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.74 / $8,155.06 / $14,268.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.58 / $509.56 / $723.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.25 / $668.55 / $1,081.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.28 / $751.98 / $1,137.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.32 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $467.41 / $732.31
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
$477.74 / $659.28 / $1,282.45