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South Carolina rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.27 / $1,235.90 / $1,617.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.88 / $1,327.73 / $2,162.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.72 / $1,640.45 / $2,666.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $802.26 / $1,489.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.56 / $1,366.67 / $2,564.85