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South Carolina rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.04 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.75 / $2,156.34 / $2,668.37
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
$1,797.53 / $2,718.00 / $4,522.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,204.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.79 / $2,757.12 / $4,528.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,148.80 / $2,688.05 / $4,305.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $1,417.27 / $2,602.71
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
$1,617.97 / $2,245.46 / $4,354.04