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South Carolina rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.62 / $1,535.91 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.49 / $624.62 / $840.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,263.58 / $6,093.30 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.00 / $539.26 / $788.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $985.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.60 / $738.07 / $1,396.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.75 / $687.08 / $1,201.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.33 / $924.33 / $924.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.36 / $512.51 / $950.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.05 / $627.67 / $1,473.32