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South Carolina rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.58 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.45 / $1,029.58 / $1,250.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.29 / $5,551.01 / $9,245.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.05 / $1,137.00 / $1,999.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,221.33 / $1,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.60 / $1,106.60 / $2,087.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.57 / $1,065.00 / $1,766.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.80 / $1,080.58 / $1,286.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $739.32 / $1,229.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.28 / $1,086.01 / $2,111.54