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South Carolina rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.37 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.11 / $559.54 / $728.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.13 / $384.55 / $744.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.56 / $633.41 / $1,071.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $617.39 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.75 / $721.46 / $1,202.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.29 / $715.73 / $1,188.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.71 / $507.71 / $507.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $398.49 / $724.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.23 / $582.91 / $1,235.95