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South Carolina rates for HCPCS 21451

Closed Tx Mandibular Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.42 / $1,990.35 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.29 / $730.42 / $1,078.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.37 / $1,883.51 / $3,078.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.00 / $686.74 / $998.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,048.86 / $1,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.82 / $936.48 / $1,645.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.29 / $871.31 / $1,505.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.05 / $829.05 / $829.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.07 / $516.37 / $987.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.55 / $778.82 / $1,294.50