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South Carolina rates for HCPCS 21450

Closed Tx Mandibular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.63 / $1,496.60 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.66 / $545.63 / $810.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.29 / $803.78 / $1,351.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $471.33 / $682.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.43 / $580.00 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.60 / $707.32 / $1,226.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.87 / $674.63 / $1,137.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.38 / $494.38 / $494.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $411.22 / $755.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.32 / $608.79 / $1,311.27