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South Carolina rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.19 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,209.41 / $1,630.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,385.32 / $10,134.33 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.56 / $1,203.00 / $1,762.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,279.96 / $2,279.96 / $2,279.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.90 / $1,175.54 / $1,579.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.14 / $1,257.00 / $1,635.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.48 / $1,747.48 / $1,747.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $839.41 / $1,223.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.34 / $15,451.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.41 / $999.39 / $1,695.56