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South Carolina rates for HCPCS 54220

Irrigation Corpora Cavernosa Priapism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.38 / $696.19 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $214.02 / $326.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.29 / $148.29 / $174.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.76 / $520.00 / $821.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $211.00 / $318.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.30 / $166.30 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $257.83 / $437.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.97 / $271.00 / $387.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.96 / $147.13 / $217.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.63 / $224.56 / $348.93
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
$199.88 / $296.33 / $580.76