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South Carolina rates for HCPCS 00172

Anes Intraoral W/Biopsy Repair Cleft Palate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $751.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.00 / $529.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $450.00 / $758.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $1,950.00 / $2,340.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $64.00 / $80.00