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South Carolina rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.23 / $318.23 / $318.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.23 / $318.23 / $632.99
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
$370.00 / $395.64 / $658.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.23 / $674.65 / $935.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00