go back

South Carolina rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,130.10 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,484.36 / $2,821.60 / $4,233.30
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
$2,541.44 / $2,998.75 / $4,404.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $3,106.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.14 / $3,429.29 / $6,048.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,692.06 / $3,595.00 / $6,080.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $1,959.37 / $3,686.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.09 / $2,873.45 / $6,168.70