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South Carolina rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.86 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.12 / $1,627.21 / $2,099.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.03 / $8,787.67 / $13,996.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.14 / $2,519.00 / $3,829.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,772.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.89 / $2,231.40 / $3,509.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.81 / $2,258.69 / $3,609.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,135.74 / $2,060.81
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
$1,327.91 / $1,816.25 / $3,502.78