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South Carolina rates for HCPCS 54650

Orchiopexy Abdl Approach Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.25 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.91 / $916.25 / $1,111.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.48 / $5,169.39 / $10,506.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.27 / $991.00 / $1,742.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,144.17 / $2,144.17 / $2,755.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.25 / $996.13 / $1,856.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.66 / $963.19 / $1,568.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.08 / $1,897.08 / $2,269.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $658.60 / $1,077.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.31 / $966.47 / $1,821.77