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South Carolina rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.75 / $990.29 / $2,636.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.88 / $839.68 / $1,343.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,410.28 / $6,352.36 / $10,022.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.42 / $859.50 / $1,526.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.59 / $890.00 / $1,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.43 / $1,256.46 / $1,913.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.40 / $1,203.65 / $1,827.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.02 / $580.02 / $580.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.90 / $811.28 / $1,342.43
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
$747.49 / $1,023.78 / $1,914.83