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South Carolina rates for HCPCS 54415

Rmvl Non-Nfltbl/Nfltbl Penile Prosth W/O Rplcmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.41 / $7,799.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.74 / $8,155.06 / $14,268.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.58 / $699.93 / $1,166.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00