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South Carolina rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $4,365.16 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $323.59 / $562.34
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 / $10,964.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $489.78