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South Carolina rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.23 / $1,807.31 / $4,919.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.88 / $1,557.88 / $3,307.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,476.80 / $10,178.12 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.10 / $1,854.00 / $3,259.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,101.10 / $2,222.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.43 / $2,266.06 / $3,492.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.24 / $2,206.21 / $3,338.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.28 / $1,043.28 / $1,043.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,146.11 / $2,103.73
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
$1,375.74 / $1,945.79 / $3,504.78