go back

South Carolina rates for HCPCS 21445

Optx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.74 / $725.80 / $1,010.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.28 / $686.27 / $1,036.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.00 / $959.27 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,089.70 / $5,089.70 / $5,089.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $515.24 / $963.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.91 / $803.35 / $1,727.21