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South Carolina rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $4,897.79 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $281.84 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $208.93 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $109.65 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13