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South Carolina rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.27 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.04 / $384.27 / $465.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.29 / $5,551.01 / $9,245.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.20 / $422.00 / $742.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $425.51 / $781.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.14 / $405.24 / $660.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.80 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.19 / $305.51 / $491.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.87 / $405.33 / $774.15