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South Carolina rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.06 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.88 / $4.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $30.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.57 / $2.29