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South Carolina rates for HCPCS 54417

Rmvl & Rplcmt Penile Prosthesis Infected Field

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.95 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.45 / $1,155.95 / $1,403.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,625.55 / $11,370.20 / $31,315.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.06 / $841.70 / $1,145.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.29 / $1,264.70 / $2,343.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $1,190.43 / $1,983.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $830.99 / $1,370.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.00 / $3,866.00 / $7,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.56 / $1,219.31 / $2,266.41