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South Carolina rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.20 / $3,287.06 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.05 / $1,532.20 / $1,862.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.75 / $1,767.00 / $3,106.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.73 / $1,676.34 / $3,110.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.70 / $1,633.42 / $2,633.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $1,101.29 / $1,791.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.48 / $1,616.20 / $3,141.79