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South Carolina rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $28.84 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $12.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $25.12 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.18 / $17.38