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South Carolina rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.33 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.44 / $1,037.40 / $1,372.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.00 / $9,201.85 / $16,786.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.12 / $1,139.00 / $2,002.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,130.00 / $1,135.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.53 / $1,362.80 / $2,398.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.00 / $1,286.00 / $2,216.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $722.96 / $1,349.57
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
$835.51 / $1,130.58 / $2,259.16