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South Carolina rates for HCPCS 21260

Periorbital Osteotomies Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.93 / $3,780.87 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.78 / $1,428.61 / $1,704.17
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
$1,258.72 / $1,839.00 / $2,662.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,534.81 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.78 / $1,776.04 / $3,489.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.00 / $1,607.92 / $3,064.78
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 / $969.95 / $1,800.21
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
$1,127.57 / $1,480.38 / $3,059.28