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South Carolina rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.64 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,595.34 / $2,138.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.03 / $8,787.67 / $13,996.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.63 / $1,792.83 / $4,678.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,738.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.41 / $2,063.59 / $3,443.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.12 / $2,005.00 / $3,526.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,135.74 / $2,051.76
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
$1,248.56 / $1,621.51 / $3,434.35