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South Carolina rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.54 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.75 / $690.54 / $1,004.54
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
$591.04 / $654.00 / $1,034.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.11 / $1,604.11 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.91 / $762.99 / $1,045.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.66 / $744.08 / $1,003.23
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 / $496.16 / $751.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,249.00 / $9,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.83 / $672.71 / $1,298.00