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South Carolina rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.71 / $661.25 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.85 / $431.76 / $602.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.90 / $4,190.50 / $6,979.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $347.49 / $528.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $438.32 / $570.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.97 / $446.12 / $895.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.00 / $428.46 / $741.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.92 / $371.00 / $1,130.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $426.56 / $695.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $15,451.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $445.55 / $887.44