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South Carolina rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.45 / $228.90 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.68 / $117.48 / $204.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.47 / $502.41 / $824.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $95.03 / $148.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.24 / $94.24 / $121.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.82 / $140.46 / $241.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.88 / $140.99 / $217.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.34 / $83.38 / $118.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $112.28 / $174.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $148.72 / $278.83