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South Carolina rates for HCPCS A6196

Alginate Or Other Fiber Gelling Dressing Wound Cover Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $8.22 / $8.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $8.22 / $9.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.71 / $18.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $5.40 / $12.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $9.03 / $18.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.91 / $6.18