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South Carolina rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.49 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.23 / $635.88 / $1,156.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,041.58 / $6,686.44 / $11,190.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.16 / $891.00 / $1,566.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $715.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.28 / $832.88 / $1,334.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.63 / $846.00 / $1,312.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $415.09 / $784.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.00 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.38 / $645.16 / $1,204.08