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South Carolina rates for HCPCS 21010

Arthrotomy Temporomandibular Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.71 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.70 / $763.05 / $1,029.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.48 / $5,819.33 / $10,022.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.38 / $1,011.00 / $1,593.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $2,279.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.93 / $1,022.39 / $1,649.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.15 / $992.20 / $1,684.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.48 / $1,747.48 / $1,747.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $551.38 / $982.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.46 / $799.69 / $1,651.70