go back

South Carolina rates for HCPCS 21196

Rcnstj Mndblr Rami&/Bdy Sgtl Splt W/Int Rgd Fi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.29 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.41 / $1,438.28 / $1,984.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,404.33 / $8,236.54 / $13,864.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.70 / $1,802.83 / $4,312.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,599.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.84 / $1,965.57 / $3,246.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.00 / $1,917.00 / $3,216.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,012.52 / $1,875.99
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
$1,181.04 / $1,557.61 / $3,171.78