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South Carolina rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.36 / $8,716.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.72 / $1,139.11 / $1,509.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.60 / $9,339.07 / $16,855.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.31 / $1,032.00 / $1,676.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,084.92 / $1,838.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.44 / $1,231.17 / $2,465.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.25 / $1,195.00 / $1,973.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $1,195.00 / $2,490.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $892.08 / $1,456.22
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
$814.48 / $1,091.03 / $2,175.53