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South Carolina rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.27 / $8,716.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.93 / $1,271.27 / $1,685.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,919.17 / $9,261.92 / $16,512.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.00 / $1,270.76 / $2,066.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,210.81 / $3,845.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.49 / $1,411.80 / $2,750.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.94 / $1,331.79 / $2,198.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $1,327.00 / $3,284.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $869.37 / $1,532.85
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
$915.76 / $1,273.35 / $2,309.64