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South Carolina rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.53 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,295.44 / $1,762.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,566.14 / $9,950.93 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.70 / $1,349.94 / $2,258.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $1,370.78 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.19 / $1,745.59 / $2,916.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.92 / $1,699.43 / $2,780.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,851.65 / $3,851.65 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $890.04 / $1,608.62
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
$1,060.49 / $1,424.52 / $2,698.26