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South Carolina rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $341.83 / $435.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.08 / $347.26 / $593.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $452.10 / $760.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.79 / $427.79 / $427.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.48 / $244.87 / $466.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.20 / $408.07 / $853.68