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South Carolina rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $10,964.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,495.41 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,905.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,760.83 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,258.93