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South Carolina rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.71 / $9,855.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.23 / $1,244.31 / $1,372.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $10,783.42 / $18,360.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,364.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.58 / $1,670.92 / $2,655.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.02 / $1,408.07 / $2,396.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.02 / $1,218.00 / $2,727.04