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South Carolina rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.87 / $5,237.34 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.10 / $809.37 / $1,321.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.77 / $3,974.02 / $6,494.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.45 / $829.00 / $1,260.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.94 / $910.80 / $1,197.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.12 / $889.31 / $1,249.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.41 / $1,397.41 / $1,397.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.39 / $577.70 / $934.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.15 / $826.18 / $1,445.82