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South Carolina rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,174.90 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,905.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,380.38