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South Carolina rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $436.52 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $229.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $141.25 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $199.53