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South Carolina rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.79 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.53 / $813.79 / $1,057.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.37 / $1,932.98 / $3,078.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.00 / $768.95 / $1,156.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,001.68 / $1,151.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.54 / $992.03 / $1,819.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.74 / $915.72 / $1,655.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.05 / $829.05 / $829.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.07 / $582.91 / $1,078.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $4,877.00 / $9,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.52 / $851.35 / $1,903.31