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South Carolina rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.47 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.51 / $190.47 / $251.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $1,831.01 / $3,049.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $187.20 / $277.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.14 / $446.43 / $780.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.60 / $234.43 / $432.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.51 / $242.90 / $412.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.99 / $368.99 / $368.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $164.97 / $296.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.47 / $210.53 / $399.77