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South Carolina rates for HCPCS 20924

Tendon Graft From A Distance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.01 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.50 / $7,206.40 / $12,212.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.83 / $715.00 / $5,740.31
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.12 / $57.12 / $57.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.00 / $684.60 / $1,109.55
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$71.69 / $101.78 / $148.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00