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South Carolina rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.37 / $296.13 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $126.96 / $196.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.47 / $502.41 / $824.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $110.40 / $164.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.41 / $135.41 / $174.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.46 / $143.26 / $286.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.37 / $160.72 / $272.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $119.80 / $185.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $149.65 / $230.16
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
$112.06 / $190.50 / $385.25