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South Carolina rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.98 / $11,550.00 / $22,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.42 / $971.98 / $2,082.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,765.00 / $17,095.34 / $28,514.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.87 / $980.00 / $1,723.13
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
$774.25 / $1,079.96 / $1,978.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.62 / $1,022.52 / $1,673.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,150.38 / $3,220.00 / $3,722.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $705.54 / $1,169.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.70 / $1,027.47 / $1,849.67