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South Carolina rates for HCPCS 21199

Osteotomy Mandible Sgmtl W/Genioglossus Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.42 / $7,799.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.37 / $1,103.20 / $2,609.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,950.93 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.76 / $1,484.00 / $2,609.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,146.48 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.31 / $1,379.71 / $2,314.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.04 / $1,384.88 / $2,365.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,030.81 / $5,030.81 / $5,030.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $732.71 / $1,336.52
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
$862.69 / $1,112.19 / $2,255.92