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South Carolina rates for HCPCS 15240

Fth/Gf Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.47 / $2,478.28 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.30 / $858.47 / $1,514.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.52 / $3,883.00 / $6,467.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.35 / $805.35 / $1,067.35
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
$753.88 / $959.65 / $1,299.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $908.37 / $1,324.42
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
$97.39 / $607.37 / $975.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.70 / $889.67 / $1,556.92