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South Carolina rates for HCPCS 54417

Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $19,498.45 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $831.76 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,041.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,890.45 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,862.09