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South Carolina rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.53 / $3,573.61 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.90 / $1,468.73 / $2,349.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,792.31 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.50 / $1,427.00 / $2,316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.54 / $1,684.83 / $3,016.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $1,599.11 / $2,722.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.32 / $1,223.13 / $2,195.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.24 / $1,976.69 / $3,923.32