go back

South Carolina rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.02 / $7,799.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.35 / $736.02 / $998.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,806.94 / $5,819.33 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.97 / $816.00 / $1,391.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.83 / $1,084.85 / $1,740.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.97 / $973.64 / $1,681.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.02 / $972.09 / $1,553.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.05 / $829.05 / $829.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $576.99 / $1,056.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.86 / $874.86 / $1,809.28