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South Carolina rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.45 / $69.45 / $69.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.08 / $69.45 / $83.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.19 / $109.23 / $132.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $76.70 / $76.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $76.70 / $76.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $91.30 / $100.43