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South Carolina rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.46 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,188.46 / $1,610.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $9,950.93 / $16,900.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.20 / $1,090.00 / $1,564.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.93 / $4,769.93 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.72 / $1,144.85 / $1,549.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.92 / $1,178.00 / $1,604.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,851.65 / $3,851.65 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $827.74 / $1,194.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.43 / $978.92 / $1,713.11