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South Carolina rates for HCPCS 21125

Agmntj Mndblr Body/Angle Prosthetic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.46 / $7,799.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.41 / $2,286.89 / $3,130.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.01 / $5,779.34 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.00 / $859.84 / $3,127.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.52 / $1,740.00 / $6,045.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.86 / $1,788.02 / $5,044.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.46 / $1,634.20 / $5,013.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,851.65 / $3,851.65 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.90 / $1,784.16 / $3,306.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $10,257.00 / $16,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.54 / $3,206.93 / $5,726.52