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South Carolina rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.61 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.40 / $128.10 / $192.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.99 / $1,150.29 / $1,953.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.85 / $145.86 / $182.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.66 / $121.69 / $180.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.40 / $121.72 / $188.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $97.39 / $134.20
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
$99.07 / $128.40 / $242.54