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South Carolina rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.44 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.88 / $867.21 / $1,138.76
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
$781.30 / $1,031.00 / $1,812.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.80 / $1,130.00 / $6,061.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.75 / $1,124.38 / $2,156.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.77 / $1,157.33 / $1,847.43
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
$75.30 / $590.41 / $1,116.74
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
$694.55 / $935.33 / $1,894.82