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South Carolina rates for HCPCS L8043

Upper Facial Prosthesis Provided By A Non-Physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.74 / $1,990.74 / $1,990.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.74 / $1,990.74 / $3,312.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,450.05 / $4,450.05 / $5,355.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.49 / $3,600.52 / $3,975.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $3,600.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.25 / $3,188.00 / $6,988.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.00 / $2,489.00 / $2,689.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.38 / $2,170.88 / $3,045.41