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South Carolina rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.76 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.79 / $2,159.55 / $3,152.58
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
$1,943.74 / $2,491.00 / $4,169.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,409.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.33 / $2,676.84 / $4,627.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.33 / $2,465.00 / $4,640.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.23 / $1,474.32 / $2,844.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $15,713.00 / $25,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.07 / $2,110.73 / $4,856.06