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South Carolina rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.18 / $8,716.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $659.71 / $827.82
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
$534.41 / $640.00 / $1,120.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $920.00 / $3,845.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.95 / $743.00 / $1,476.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.13 / $688.60 / $1,254.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $857.00 / $3,284.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $518.64 / $844.64
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
$476.92 / $653.16 / $1,300.89