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South Carolina rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.63 / $1,026.76 / $9,062.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.77 / $5,970.21 / $9,892.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.08 / $375.00 / $570.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.85 / $402.00 / $669.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $4,579.00 / $8,667.00