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South Carolina rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.76 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $828.76 / $1,097.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.16 / $1,162.16 / $1,162.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.60 / $9,339.07 / $16,512.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.25 / $849.00 / $1,452.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,280.00 / $3,845.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.47 / $948.19 / $1,793.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.46 / $873.00 / $1,434.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.00 / $1,190.00 / $3,284.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $651.34 / $1,048.21
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
$598.83 / $856.31 / $1,837.92