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South Carolina rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.48 / $7,182.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.11 / $524.48 / $524.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $2,892.28 / $3,543.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.19 / $669.00 / $1,176.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.28 / $2,009.28 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.11 / $594.21 / $1,223.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.81 / $633.89 / $909.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.74 / $1,777.74 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $422.12 / $724.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.40 / $600.50 / $1,090.41