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South Carolina rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.20 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.11 / $366.00 / $524.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.37 / $1,932.98 / $3,214.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.96 / $385.79 / $676.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $416.47 / $447.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.87 / $427.08 / $746.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.68 / $448.85 / $694.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.15 / $402.15 / $402.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $276.70 / $503.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.72 / $413.32 / $905.34