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South Carolina rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $48.98 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20