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South Carolina rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.65 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.08 / $1,562.21 / $1,866.98
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
$1,404.32 / $1,993.00 / $3,504.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,710.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.93 / $2,047.13 / $3,356.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.78 / $2,061.00 / $3,342.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,093.44 / $2,021.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.00 / $16,959.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.84 / $1,681.85 / $3,400.77