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South Carolina rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.52 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $4.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.86 / $2.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.40 / $0.55