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South Carolina rates for HCPCS C1815

Prothesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.18 / $905.23 / $905.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $2,453.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,965.41 / $5,965.41 / $5,965.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $3,237.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.46 / $2,453.46 / $2,453.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00