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South Carolina rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.24 / $835.69 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.55 / $282.76 / $452.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $1,830.88 / $3,049.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.27 / $266.16 / $386.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.41 / $347.41 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.78 / $339.65 / $579.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.22 / $320.77 / $567.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.68 / $307.36 / $368.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $246.95 / $420.39
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
$285.20 / $382.43 / $711.67