go back

South Carolina rates for HCPCS 20955

Bone Graft Microvascular Anastomosis Fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,821.74 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.84 / $2,568.96 / $3,422.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.71 / $3,906.00 / $6,293.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $890.00 / $2,764.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.46 / $3,486.83 / $5,453.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,808.52 / $3,502.91 / $5,466.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $1,727.82 / $3,205.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.03 / $2,637.45 / $5,454.92