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South Carolina rates for HCPCS 21151

Rcnstj Midface Lefort Ii W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.71 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.54 / $2,067.28 / $2,745.76
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
$1,669.04 / $2,538.00 / $4,213.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,047.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.08 / $2,638.13 / $4,186.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.76 / $2,526.61 / $4,001.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $1,278.70 / $2,377.66
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
$1,503.64 / $2,022.03 / $4,044.98