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South Carolina rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.25 / $5,515.65 / $14,644.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.84 / $1,094.25 / $2,568.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.31 / $766.31 / $766.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.41 / $9,261.92 / $16,512.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.21 / $1,030.35 / $1,807.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,043.05 / $3,845.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.58 / $1,172.80 / $2,367.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.28 / $1,111.00 / $1,860.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $1,111.00 / $3,284.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $857.27 / $1,390.62
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
$769.18 / $1,046.27 / $2,081.51