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South Carolina rates for HCPCS 21423

Open Tx Palatal/Maxillary Fx Comp Multiple Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.06 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $833.25 / $960.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.03 / $8,787.67 / $13,996.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.52 / $1,030.00 / $1,690.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $895.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.20 / $1,087.89 / $1,819.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.98 / $1,088.43 / $1,694.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $561.25 / $1,056.76
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
$636.33 / $853.70 / $1,788.33