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South Carolina rates for HCPCS 54057

Dstrj Lesion Penis Simple Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.54 / $373.72 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.50 / $4,661.39 / $8,201.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,248.31 / $1,604.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.57 / $177.46 / $302.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00