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South Carolina rates for HCPCS 21348

Optx Nasomax Cplx Fx Left Ii Type W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.31 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.68 / $1,237.01 / $1,637.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.03 / $8,787.67 / $13,996.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.49 / $1,442.00 / $2,438.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,243.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.08 / $1,557.11 / $2,437.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.34 / $1,513.57 / $2,367.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $793.03 / $1,469.13
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
$893.79 / $1,224.06 / $2,458.19