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South Carolina rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.13 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.65 / $1,360.13 / $1,652.24
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
$983.93 / $1,560.00 / $2,742.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.42 / $1,488.09 / $2,753.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.63 / $1,428.13 / $2,332.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.80 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $959.80 / $1,582.80
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
$1,014.34 / $1,423.78 / $2,787.01