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South Carolina rates for HCPCS 21406

Open Tx Fx Orbit Except Blowout W/O Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.50 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.05 / $613.61 / $872.28
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
$542.29 / $645.20 / $1,109.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.14 / $715.00 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.53 / $768.07 / $1,367.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.07 / $766.87 / $1,261.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,851.65 / $3,851.65 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $415.09 / $760.98
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
$468.72 / $604.79 / $1,315.23