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South Carolina rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.24 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.54 / $820.81 / $1,407.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.21 / $5,405.49 / $8,981.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.22 / $827.00 / $1,130.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.03 / $879.11 / $1,174.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.61 / $871.31 / $1,219.32
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 / $551.23 / $898.86
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
$653.40 / $810.00 / $1,628.65