go back

South Carolina rates for HCPCS 54385

Plastic Penis Epispadias Dstl Sphnctr W/Incont

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.83 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.59 / $1,195.83 / $1,453.74
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
$865.85 / $1,327.00 / $2,333.26
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
$1,049.17 / $1,340.35 / $2,419.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.44 / $1,315.41 / $2,049.79
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
$108.60 / $866.63 / $1,427.65
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
$912.33 / $1,261.38 / $2,454.44