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South Carolina rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.85 / $14,264.95 / $24,356.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,370.91 / $1,811.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.00 / $5,825.22 / $13,412.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.24 / $1,732.50 / $4,019.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,491.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.17 / $1,800.47 / $2,956.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.00 / $1,786.34 / $3,009.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $970.10 / $1,783.80
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
$1,110.41 / $1,513.18 / $2,955.61