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South Carolina rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.63 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,950.93 / $16,952.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,100.00 / $4,769.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.18 / $1,469.05 / $2,451.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00