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South Carolina rates for HCPCS D4261

Osseous Surg 1-3 Contig/Tooth Bound Spaces-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.76 / $241.76 / $241.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.76 / $241.76 / $269.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.27 / $3,020.06 / $4,026.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.21 / $268.47 / $440.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00