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South Carolina rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.05 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.50 / $97.05 / $246.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.52 / $3,883.00 / $6,494.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.79 / $97.00 / $158.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.21 / $110.71 / $148.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.70 / $110.62 / $142.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.44 / $100.11 / $133.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,178.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $95.89 / $177.00