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South Carolina rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.44 / $364.81 / $364.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $198.44 / $205.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $93.23 / $113.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.51 / $198.44 / $284.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.10 / $177.10 / $177.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $220.00 / $242.00