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South Carolina rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $34,673.69 / $64,565.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $21,877.62 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $24,547.09 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,348.96