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South Carolina rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.33 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.81 / $453.36 / $569.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.01 / $5,779.34 / $9,815.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $381.56 / $575.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $614.32 / $2,279.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.57 / $582.97 / $947.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.51 / $583.65 / $901.71
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
$36.68 / $311.89 / $610.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $10,147.00 / $16,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.55 / $553.05 / $1,031.67