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South Carolina rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.63 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.29 / $1,660.13 / $2,223.73
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
$1,455.88 / $1,993.00 / $3,413.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,765.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.60 / $2,207.96 / $3,608.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.45 / $2,114.39 / $3,680.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,134.45 / $2,060.68
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
$1,343.38 / $1,882.37 / $4,125.60