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South Carolina rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.35 / $4,230.00 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.92 / $5,507.61 / $9,227.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.33 / $1,221.33 / $1,569.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $254.00 / $427.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00