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South Carolina rates for HCPCS 54328

1 Stage Dstl Hypospadias Rpr W/Extensive Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.75 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.80 / $1,202.75 / $1,462.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.00 / $8,135.49 / $14,023.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.02 / $1,349.00 / $2,371.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.59 / $1,330.85 / $2,448.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.60 / $1,281.33 / $2,071.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.32 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $866.90 / $1,429.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.46 / $1,270.97 / $2,467.67