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South Carolina rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.17 / $3,346.28 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.79 / $1,289.07 / $1,787.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,792.31 / $9,201.85 / $16,900.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.79 / $1,802.00 / $2,722.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,398.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.99 / $1,672.53 / $3,224.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.77 / $1,649.00 / $2,729.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $892.54 / $1,661.08
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
$1,024.55 / $1,298.50 / $2,650.26