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South Carolina rates for HCPCS 40650

Repair Lip Full Thickness Vermilion Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.57 / $1,851.50 / $11,674.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$277.88 / $422.68 / $879.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.58 / $1,864.94 / $3,078.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.43 / $446.43 / $580.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.47 / $469.44 / $648.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00