go back

South Carolina rates for HCPCS 21408

Open Tx Fx Orbit Except Blowout W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.38 / $2,418.92 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.59 / $927.22 / $1,215.81
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
$836.44 / $1,060.00 / $1,863.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.38 / $1,017.38 / $1,255.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.13 / $1,207.19 / $1,995.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.99 / $1,211.73 / $1,978.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $655.33 / $1,200.23
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
$745.06 / $971.48 / $2,025.85