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South Carolina rates for HCPCS 40761

Plstc Rpr Cl Lip/Nsl Dfrm W/Cross Lip Pedcl Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.44 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.09 / $1,273.44 / $1,684.19
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
$1,000.10 / $1,322.00 / $1,804.72
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
$999.07 / $1,240.20 / $1,660.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.66 / $1,343.78 / $1,734.00
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
$65.88 / $807.46 / $1,238.36
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
$794.77 / $1,054.35 / $1,845.13