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South Carolina rates for HCPCS 40840

Vestibuloplasty Anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.81 / $2,169.16 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.52 / $5,761.95 / $9,815.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $3,711.96 / $4,769.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.04 / $929.00 / $1,531.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00