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South Carolina rates for HCPCS 54205

Njx Peyronie W/Surg Expos Plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.20 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.34 / $684.20 / $830.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.74 / $8,155.06 / $14,268.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.77 / $649.00 / $1,141.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $3,208.42 / $4,122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.35 / $748.57 / $1,387.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.03 / $718.51 / $1,174.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.32 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $492.26 / $805.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,186.00 / $12,456.00 / $22,523.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.99 / $720.87 / $1,408.24