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South Carolina rates for HCPCS 41805

Rmvl Embedded Fb From Dentalvlr Struxs Soft Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.16 / $748.19 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.36 / $289.73 / $388.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,410.28 / $6,093.30 / $9,892.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $185.90 / $318.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.31 / $375.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.37 / $298.27 / $589.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $272.69 / $500.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.19 / $230.12 / $740.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $262.43 / $427.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.47 / $291.18 / $585.30