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South Carolina rates for HCPCS 53400

Urethroplasty 1st Stg Fistula/Diverticulum/Strix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.39 / $7,799.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.66 / $7,239.95 / $12,337.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $3,208.42 / $4,122.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.27 / $1,074.00 / $1,763.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00