go back

South Carolina rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.37 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.30 / $895.05 / $1,201.28
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
$819.24 / $1,116.08 / $1,904.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $1,130.00 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.55 / $1,176.76 / $2,210.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.28 / $1,215.78 / $1,943.68
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
$75.30 / $614.55 / $1,108.22
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
$712.55 / $922.27 / $1,886.20