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South Carolina rates for HCPCS D7241

Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.11 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.70 / $265.11 / $284.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.16 / $2,216.51 / $3,868.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $256.39 / $458.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.80 / $291.62 / $465.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00