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South Carolina rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.98 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.01 / $1,755.45 / $2,250.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.03 / $8,787.67 / $16,786.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.59 / $2,080.42 / $5,140.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,910.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.12 / $2,226.41 / $3,785.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.81 / $2,162.00 / $3,876.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $1,214.29 / $2,220.95
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
$1,426.84 / $1,896.81 / $4,164.50