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South Carolina rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.03 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.39 / $1,745.02 / $2,152.27
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
$1,568.65 / $2,266.00 / $3,922.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,911.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.79 / $2,232.21 / $3,749.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.02 / $2,294.94 / $3,741.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $1,210.01 / $2,265.05
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
$1,409.50 / $1,954.62 / $3,795.89