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South Carolina rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.31 / $1,228.43 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.96 / $437.70 / $633.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.37 / $1,892.65 / $3,049.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $493.00 / $701.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.43 / $446.43 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.45 / $504.19 / $725.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.58 / $539.00 / $701.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.99 / $368.99 / $368.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $422.83 / $624.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.12 / $483.35 / $937.06