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South Carolina rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,630.78 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $1,047.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,760.83 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $776.25