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South Carolina rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $4,862.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $37.36 / $37.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.30 / $166.30 / $213.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.81 / $45.01 / $100.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $44.83 / $53.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $147.13 / $217.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $33.35 / $61.99