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South Carolina rates for HCPCS A6215

Foam Dressing Wound Filler Per Gram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.66 / $8.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00