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South Carolina rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.14 / $2,284.80 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.84 / $288.49 / $385.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $1,831.01 / $3,048.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $248.51 / $382.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $836.43 / $1,074.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.44 / $343.13 / $559.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.49 / $349.00 / $548.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.80 / $740.04 / $829.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.37 / $234.25 / $382.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.01 / $363.05 / $668.72