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South Carolina rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.81 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.96 / $517.66 / $732.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.09 / $1,063.98 / $1,835.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $424.61 / $642.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $536.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.36 / $559.97 / $770.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.58 / $548.69 / $777.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.30 / $427.30 / $427.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $395.04 / $642.78
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
$423.65 / $557.92 / $1,038.97