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South Carolina rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.14 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.83 / $939.12 / $1,249.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,950.93 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.71 / $1,088.00 / $1,913.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,032.63 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.97 / $1,216.08 / $2,031.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.30 / $1,209.69 / $2,013.95
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
$75.06 / $667.52 / $1,232.48
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
$756.27 / $983.28 / $2,053.37