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South Carolina rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.63 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $152.63 / $212.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.57 / $787.22 / $1,357.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $142.52 / $206.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.35 / $177.28 / $271.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.35 / $168.00 / $240.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.49 / $153.09 / $198.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.71 / $163.47 / $281.62