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South Carolina rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.01 / $11,550.00 / $22,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.47 / $843.01 / $1,810.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,132.63 / $10,843.93 / $18,562.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.19 / $850.00 / $1,494.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.40 / $3,639.40 / $4,676.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.46 / $934.36 / $1,715.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.65 / $908.46 / $1,450.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.10 / $3,220.00 / $3,722.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $601.40 / $1,000.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,766.00 / $20,341.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.44 / $891.15 / $1,731.22