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South Carolina rates for HCPCS D6930

Re-Cement Or Re-Bond Fixed Partial Denture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $40.74 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $58.88 / $97.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $54.95 / $54.95