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South Carolina rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $269.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $173.78 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $251.19