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South Carolina rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.19 / $4,204.20 / $11,269.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,414.00 / $10,414.00 / $10,414.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.94 / $5,228.39 / $9,226.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,221.33 / $1,569.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.10 / $436.61 / $708.42
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$531.00 / $654.78 / $930.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00