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South Carolina rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.19 / $1,238.05 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.90 / $548.19 / $713.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.56 / $4,434.97 / $7,645.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.13 / $520.00 / $914.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,529.27 / $1,965.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.43 / $624.57 / $1,121.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.01 / $628.00 / $998.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.45 / $1,353.04 / $1,606.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $420.15 / $717.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $10,069.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.29 / $611.91 / $1,210.82