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South Carolina rates for HCPCS 21198

Osteotomy Mandible Segmental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.23 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.49 / $1,175.23 / $1,593.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,578.99 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.65 / $1,484.00 / $2,609.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,137.85 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.69 / $1,534.69 / $2,475.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.23 / $1,452.00 / $2,431.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,851.65 / $3,851.65 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $709.49 / $1,309.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.85 / $1,258.44 / $2,249.46