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South Carolina rates for HCPCS 11042

Debridement Subcutaneous Tissue 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.10 / $915.80 / $7,182.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$999.54 / $999.54 / $999.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.33 / $82.24 / $190.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.29 / $99.22 / $177.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.31 / $733.22 / $1,100.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.47 / $130.00 / $171.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $86.27 / $166.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.92 / $99.22 / $198.49
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$128.22 / $138.00 / $351.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$422.99 / $422.99 / $422.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $129.19 / $177.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.30 / $118.53 / $199.79