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South Carolina rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.46 / $6,188.95 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.66 / $2,332.71 / $2,690.62
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
$2,065.48 / $3,164.00 / $4,580.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,513.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.82 / $2,862.74 / $5,722.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.90 / $2,610.65 / $5,019.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.11 / $1,573.20 / $2,929.80
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
$1,810.62 / $2,313.00 / $5,012.89