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South Carolina rates for HCPCS 22114

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.53 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.98 / $1,155.33 / $1,338.40
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
$1,004.00 / $1,110.78 / $1,785.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,303.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.33 / $1,328.78 / $2,486.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.60 / $1,315.00 / $2,495.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.43 / $813.90 / $1,543.86
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
$893.61 / $1,162.50 / $2,603.71