go back

South Carolina rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.46 / $1,310.08 / $2,010.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.91 / $1,698.08 / $2,787.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.42 / $1,846.70 / $2,919.62
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
$150.60 / $972.62 / $1,771.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.78 / $1,595.44 / $2,961.90