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South Carolina rates for HCPCS 41015

Xtroral I&D Absc Cst/Hmtma Floor Mouth Sublngl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.98 / $1,142.88 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.81 / $390.37 / $533.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $650.00 / $1,285.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.00 / $352.73 / $547.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.81 / $375.00 / $446.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.55 / $475.99 / $841.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.72 / $483.00 / $769.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.36 / $379.00 / $1,002.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $355.13 / $571.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $982.00 / $2,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.28 / $463.66 / $899.80