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South Carolina rates for HCPCS 54205

Injection procedure for Peyronie disease; with surgical exposure of plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,235.94 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,096.48