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South Carolina rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.25 / $1,118.17 / $1,622.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.47 / $1,301.89 / $2,209.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.23 / $1,506.74 / $2,534.35
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 / $709.90 / $1,302.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.46 / $1,291.33 / $2,157.29