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South Carolina rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.35 / $3,023.83 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.97 / $1,135.35 / $1,707.01
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
$1,006.20 / $1,306.00 / $2,168.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,224.95 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.16 / $1,423.01 / $2,406.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.08 / $1,425.00 / $2,451.67
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
$150.60 / $760.78 / $1,445.46
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
$912.50 / $1,179.96 / $2,275.21