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South Carolina rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.51 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.45 / $560.51 / $766.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.01 / $5,819.33 / $10,022.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.97 / $757.00 / $1,126.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.83 / $815.00 / $6,136.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.52 / $747.53 / $1,278.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.51 / $704.40 / $1,196.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,241.97 / $5,241.97 / $5,241.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $357.44 / $670.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.97 / $597.15 / $1,233.15