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South Carolina rates for HCPCS A6209

Foam Dressing Wound Cover Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $8.35 / $8.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $8.35 / $9.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.88 / $19.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $12.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $9.19 / $18.45
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
$3.47 / $4.97 / $6.36