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South Carolina rates for HCPCS 13101

Repair Complex Trunk 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.21 / $4,540.55 / $10,032.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.04 / $369.62 / $646.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.20 / $356.70 / $540.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.55 / $1,152.26 / $1,952.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.88 / $330.75 / $448.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.76 / $536.76 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.95 / $381.99 / $575.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.04 / $364.83 / $547.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.30 / $427.30 / $427.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.34 / $308.67 / $454.12
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
$290.55 / $381.25 / $705.43