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South Carolina rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.11 / $9,062.00 / $20,498.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.21 / $7,069.60 / $11,780.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $671.06 / $2,581.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.54 / $865.90 / $1,405.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00