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South Carolina rates for HCPCS A4100

Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)

Facilitymedian $102 · 10th–90th $83$2040%20%10th90th$102Professionalmedian $93 · 10th–90th $69$1170%10%20%10th90th$93$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20