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South Carolina rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.22 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.49 / $21.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.88 / $12.88