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South Carolina rates for HCPCS 42120

Rescj Palate/Extensive Rescj Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.30 / $9,062.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.53 / $9,261.92 / $16,512.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,121.54 / $3,845.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.00 / $1,186.30 / $1,992.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $10,069.00 / $16,249.00