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South Carolina rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.37 / $9,855.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.24 / $1,637.44 / $1,825.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.85 / $10,399.86 / $18,360.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.00 / $1,438.76 / $2,321.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,795.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.78 / $2,199.28 / $3,494.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.28 / $2,062.67 / $3,082.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.00 / $16,959.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.65 / $1,602.61 / $3,588.39