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South Carolina rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.58 / $5,621.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.36 / $969.58 / $1,242.18
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
$740.79 / $1,146.00 / $2,015.01
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
$841.39 / $1,118.80 / $2,073.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.36 / $1,068.06 / $1,755.44
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 / $753.63 / $1,247.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.00 / $12,798.00 / $23,771.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.66 / $1,080.94 / $2,037.35