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South Carolina rates for HCPCS 40843

Vestibuloplasty Posterior Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.05 / $2,867.23 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.67 / $1,172.14 / $1,875.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.52 / $5,779.34 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.41 / $1,097.53 / $1,898.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.34 / $1,319.53 / $2,299.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.00 / $1,243.82 / $2,117.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.11 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.09 / $1,094.39 / $1,825.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.67 / $1,441.30 / $2,819.53