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South Carolina rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.38 / $2,707.60 / $11,629.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.28 / $303.35 / $700.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.29 / $5,507.61 / $9,226.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.07 / $265.81 / $395.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.33 / $1,221.33 / $1,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.06 / $338.44 / $540.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.24 / $330.00 / $485.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.80 / $1,080.58 / $1,286.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $244.78 / $377.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.00 / $10,147.00 / $16,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.78 / $347.44 / $674.69