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South Carolina rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.97 / $1,057.98 / $1,529.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.73 / $1,125.66 / $1,883.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.78 / $1,480.71 / $2,545.36
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
$75.30 / $731.11 / $1,330.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.58 / $1,177.55 / $2,218.11