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South Carolina rates for HCPCS A6257

Transparent Film 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.71 / $1.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.24 / $3.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $2.00 / $3.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
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
$0.72 / $1.03 / $1.29