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South Carolina rates for HCPCS 53453

Periurethral Tprnl Adjtbl Balo Cntnc Dev Rmvl Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.75 / $7,182.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.75 / $595.75 / $665.66
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
$182.94 / $1,003.49 / $1,590.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.67 / $613.61 / $1,126.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.46 / $1,863.46 / $2,252.57
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
$504.80 / $734.84 / $1,537.39