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South Carolina rates for MS-DRG 187

Dental Extractions & Restorations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,516.00 / $17,240.00 / $17,240.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,932.44 / $11,523.58 / $26,665.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,250.95 / $19,462.52 / $29,831.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $25,756.16 / $33,255.51