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South Carolina rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.61 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.44 / $917.61 / $1,252.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,566.14 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.86 / $1,034.00 / $1,746.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $909.50 / $6,089.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.77 / $1,226.47 / $2,051.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.61 / $1,144.28 / $1,935.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,164.35 / $5,164.35 / $5,164.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $584.59 / $1,055.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.81 / $976.73 / $1,780.08