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South Carolina rates for HCPCS 54112

Exc Penile Plaque Graft > 5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.31 / $5,192.00 / $9,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.74 / $8,155.06 / $14,268.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,081.57 / $6,081.57 / $7,814.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.72 / $1,285.28 / $2,069.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00