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South Carolina rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.02 / $37.02 / $37.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.02 / $37.02 / $47.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.16 / $2,216.51 / $3,868.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.02 / $45.63 / $69.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00