go back

South Carolina rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.44 / $7,799.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.11 / $1,694.51 / $2,359.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,566.14 / $9,950.93 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.27 / $1,341.34 / $2,716.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $1,297.44 / $6,507.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.89 / $1,708.89 / $3,612.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.44 / $1,654.00 / $3,391.26
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
$185.53 / $1,218.74 / $2,273.68
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
$1,597.15 / $2,189.28 / $3,896.32