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South Carolina rates for HCPCS 21740

Reconstructive repair of pectus excavatum or carinatum; open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $9,332.54 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $2,290.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,344.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,778.28