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South Carolina rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.49 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.58 / $765.68 / $1,000.66
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
$677.71 / $956.00 / $1,537.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $826.55 / $2,345.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.75 / $964.00 / $1,618.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.66 / $944.00 / $1,653.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $549.85 / $1,008.39
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
$605.79 / $790.55 / $1,646.23