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South Carolina rates for HCPCS 54115

Removal foreign body from deep penile tissue (eg, plastic implant)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,265.80 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,513.56 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $912.01