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South Carolina rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.46 / $5,621.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.71 / $1,027.46 / $1,247.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.74 / $8,155.06 / $14,268.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.25 / $1,173.00 / $2,062.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,208.42 / $3,208.42 / $4,122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.75 / $1,137.42 / $2,087.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.48 / $1,094.00 / $1,766.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.32 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $740.04 / $1,229.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.04 / $1,004.16 / $2,054.30