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South Carolina rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.13 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.95 / $579.85 / $960.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.20 / $744.00 / $1,308.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.54 / $607.54 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.26 / $808.08 / $1,222.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.13 / $817.00 / $1,177.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.69 / $421.72 / $741.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.66 / $638.60 / $1,195.06