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South Carolina rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $8,709.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,495.41 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,715.35 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,238.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,905.46