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South Carolina rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $5,248.07 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $36.31 / $47.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $134.90