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South Carolina rates for HCPCS 21452

Percutaneous Tx Mandibular Fx W/External Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.25 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.13 / $616.63 / $842.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.58 / $4,097.39 / $6,811.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $407.91 / $769.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $724.83 / $6,108.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.54 / $704.92 / $1,289.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.48 / $681.98 / $1,297.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,071.34 / $5,071.34 / $5,071.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.36 / $499.48 / $911.05
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
$547.78 / $720.32 / $1,622.54