go back

South Carolina rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $14,791.08 / $31,622.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $15,848.93 / $29,512.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,737.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,548.82