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South Carolina rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.58 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.73 / $1,717.39 / $2,368.50
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
$1,515.61 / $2,266.00 / $3,642.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,858.64 / $6,045.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.36 / $2,326.98 / $3,759.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.39 / $2,197.63 / $3,635.94
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
$189.42 / $1,173.19 / $2,180.50
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
$1,365.63 / $1,919.11 / $3,344.66