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South Carolina rates for HCPCS 11004

Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.70 / $1,559.15 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.26 / $718.26 / $718.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.84 / $639.66 / $831.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.00 / $6,074.00 / $8,973.00