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South Carolina rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.75 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.07 / $594.66 / $812.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.87 / $5,205.85 / $8,724.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $554.38 / $875.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $613.78 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.88 / $643.59 / $1,164.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.18 / $654.00 / $1,159.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $405.21 / $735.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.01 / $524.40 / $1,210.36