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South Carolina rates for HCPCS 15200

Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.02 / $6,548.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.88 / $750.33 / $1,202.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.33 / $557.33 / $557.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.16 / $3,977.03 / $6,529.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.00 / $682.77 / $986.56
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
$620.46 / $833.84 / $1,134.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.12 / $807.00 / $1,184.56
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 / $522.16 / $910.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.01 / $798.90 / $1,318.19