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South Carolina rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.43 / $8,716.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.34 / $1,154.43 / $1,538.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.01 / $1,383.01 / $1,383.01
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
$850.00 / $1,020.00 / $1,522.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,110.75 / $3,845.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.00 / $1,251.35 / $2,497.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.00 / $1,154.43 / $1,962.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.92 / $1,385.00 / $3,284.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $907.45 / $1,474.80
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
$798.47 / $1,101.04 / $2,275.64