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South Carolina rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.40 / $1,328.40 / $1,328.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,328.40 / $1,344.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.11 / $1,668.60 / $2,025.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,461.24 / $2,209.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.22 / $1,328.40 / $1,394.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.00 / $1,350.00 / $1,485.00