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South Carolina rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.06 / $11,018.00 / $27,858.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.20 / $767.20 / $890.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.27 / $75.27 / $75.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.08 / $966.73 / $1,503.03
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$122.25 / $140.97 / $203.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00