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South Carolina rates for HCPCS 54699

Unlisted Laparoscopy Procedure Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,799.00 / $15,307.00 / $30,546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $15,307.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,947.77 / $9,720.82 / $15,080.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00