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South Carolina rates for HCPCS 20910

Cartilage Graft Costochondral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.62 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.90 / $487.74 / $610.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.28 / $5,492.74 / $9,383.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.00 / $450.20 / $698.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.76 / $546.45 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.14 / $580.00 / $1,050.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.05 / $646.44 / $1,026.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.30 / $427.30 / $427.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.90 / $276.95 / $657.78
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
$381.93 / $503.21 / $1,085.60