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South Carolina rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.88 / $3,776.00 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.83 / $310.47 / $524.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.34 / $210.80 / $580.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.94 / $114.85 / $215.42
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$83.42 / $214.50 / $317.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,134.00 / $2,922.00