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South Carolina rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.77 / $6,774.95 / $16,116.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.82 / $739.65 / $1,218.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.52 / $3,883.00 / $6,529.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.91 / $727.96 / $1,019.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.83 / $827.38 / $1,097.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.91 / $800.21 / $1,149.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.41 / $1,397.41 / $1,397.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $517.08 / $866.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.10 / $761.59 / $1,420.40