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South Carolina rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.00 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $387.60 / $514.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.39 / $5,205.85 / $8,724.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.02 / $529.00 / $930.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.65 / $505.00 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.21 / $544.39 / $903.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.00 / $559.63 / $785.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $268.65 / $482.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,878.00 / $16,901.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.11 / $403.50 / $800.63