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South Carolina rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.17 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.72 / $897.22 / $1,136.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,950.93 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.36 / $1,172.00 / $1,960.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.05 / $1,192.06 / $1,915.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.02 / $1,175.00 / $1,976.58
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 / $612.15 / $1,130.75
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
$725.60 / $930.52 / $1,921.76