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South Carolina rates for HCPCS 53452

Periurethrl Tprnl Adjtbl Balo Cntnc Dev Uni Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.58 / $9,062.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.60 / $488.58 / $488.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,162.69 / $9,162.69 / $11,774.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.77 / $651.11 / $1,143.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.57 / $582.04 / $723.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,573.45 / $8,106.80 / $8,106.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $565.33 / $903.41