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South Carolina rates for HCPCS A6241

Hydrocolloid Dressing Wound Filler Dry Form Per Gram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.87 / $3.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.75 / $6.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $4.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.66 / $1.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $3.16 / $6.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
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
$1.20 / $1.71 / $2.16