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South Carolina rates for HCPCS 54380

Plastic Rpr Penis Epispadias Dstl Sphnctr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.56 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.15 / $1,027.56 / $1,248.96
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
$744.82 / $1,156.00 / $2,032.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.33 / $1,221.33 / $1,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.77 / $1,137.11 / $2,083.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.88 / $1,083.94 / $1,763.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.58 / $1,286.61 / $1,707.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $739.32 / $1,229.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.07 / $1,083.88 / $2,108.86