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South Carolina rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.54 / $7,251.99 / $13,208.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,107.20 / $6,673.79 / $7,831.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,477.82 / $6,988.35 / $13,239.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,956.98 / $2,514.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.46 / $816.93 / $1,504.55
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$945.00 / $1,227.83 / $1,917.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00