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South Carolina rates for HCPCS D4260

Osseous Surg 4/> Contig/Tooth Bound Spaces-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.16 / $312.16 / $312.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.16 / $348.96 / $381.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.16 / $2,216.51 / $3,868.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.16 / $435.92 / $661.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,000.00