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South Carolina rates for HCPCS 21127

Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,398.83 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,737.80 / $6,760.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,290.87 / $5,248.07