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South Carolina rates for HCPCS A6231

Gauze Impregnated Hydrogel For Direct Wound Contact Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $5.24 / $5.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.83 / $12.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $7.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $6.00 / $11.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
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
$2.18 / $3.12 / $3.93