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South Carolina rates for HCPCS 40845

Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.05 / $3,900.40 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.72 / $1,459.41 / $2,550.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.58 / $1,206.58 / $1,206.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.54 / $9,528.23 / $16,900.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.40 / $1,653.63 / $2,867.81
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
$1,332.98 / $1,847.60 / $3,107.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.36 / $1,811.00 / $2,916.91
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
$142.97 / $1,343.73 / $2,217.86
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
$1,397.82 / $2,073.84 / $3,507.92