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South Carolina rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.33 / $5,621.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.60 / $1,064.33 / $1,362.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,768.35 / $7,239.95 / $12,392.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.80 / $1,273.00 / $2,238.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $3,208.42 / $4,122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.03 / $1,228.14 / $2,276.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.60 / $1,177.10 / $1,927.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.87 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $830.99 / $1,370.19
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
$825.04 / $1,212.11 / $2,248.48