go back

South Carolina rates for HCPCS 54401

Insj Penile Prosthesos Inflatable Self-Contained

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.73 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.60 / $852.73 / $1,032.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,497.72 / $35,070.93 / $62,507.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.84 / $1,165.00 / $2,026.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,881.15 / $21,881.15 / $28,117.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.57 / $920.73 / $1,709.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.29 / $895.37 / $1,554.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,910.30 / $19,359.61 / $25,045.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $597.87 / $991.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,713.00 / $23,503.00 / $39,735.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.03 / $899.47 / $1,861.94