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South Carolina rates for HCPCS A6242

Hydrogel 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
$6.76 / $6.76 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $6.76 / $7.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.81 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $9.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $7.44 / $14.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
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
$2.82 / $4.04 / $5.09