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South Carolina rates for HCPCS 21121

Genioplasty Sliding Osteotomy Single Piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.77 / $7,799.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.16 / $620.01 / $834.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,806.94 / $5,819.33 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.08 / $693.00 / $1,216.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.78 / $1,740.00 / $3,508.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.90 / $897.89 / $1,398.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.77 / $875.57 / $1,388.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.48 / $1,747.48 / $1,747.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $450.46 / $837.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $9,904.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.61 / $801.52 / $1,410.37