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South Carolina rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.47 / $852.21 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.27 / $278.33 / $622.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.37 / $1,932.98 / $3,214.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.27 / $271.00 / $476.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.07 / $230.07 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.98 / $352.47 / $568.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $334.20 / $568.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.55 / $296.83 / $339.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.37 / $249.59 / $428.37
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
$268.16 / $420.46 / $721.55