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South Carolina rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $6,760.83 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,332.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $4,786.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $2,570.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68