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South Carolina rates for HCPCS 13121

Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.92 / $1,056.55 / $10,032.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.57 / $407.49 / $655.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.99 / $289.38 / $349.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.38 / $828.05 / $1,406.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.14 / $383.61 / $502.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.76 / $536.76 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.44 / $408.92 / $622.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.54 / $400.43 / $605.16
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 / $335.65 / $466.19
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
$309.22 / $409.69 / $716.96