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South Carolina rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.75 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.97 / $1,066.18 / $1,361.34
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
$943.59 / $1,305.00 / $2,294.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.80 / $1,429.92 / $2,245.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.74 / $1,432.00 / $2,275.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $722.99 / $1,364.16
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
$859.51 / $1,129.92 / $2,302.14