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South Carolina rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.60 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.07 / $2,646.55 / $3,600.35
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
$2,391.92 / $3,806.00 / $6,036.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,934.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.98 / $3,662.29 / $6,152.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,894.24 / $3,683.31 / $5,726.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.23 / $1,827.76 / $3,388.92
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
$2,153.54 / $2,910.63 / $5,783.63