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South Carolina rates for HCPCS 54405

Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $9,120.11 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $33,884.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $21,877.62 / $21,877.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $24,547.09 / $43,651.58