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South Carolina rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.05 / $839.80 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $198.83 / $318.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.13 / $379.57 / $607.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $139.69 / $229.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.91 / $195.91 / $251.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.85 / $221.53 / $401.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.66 / $200.69 / $384.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.17 / $173.33 / $259.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.47 / $203.90 / $317.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.05 / $267.36 / $490.35