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South Carolina rates for HCPCS G0428

Collagen Implant Procedure For Filling Meniscal Defects (E.G. Cmi Collagen Scaffold Menaflex)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.45 / $2,807.45 / $2,807.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $885.72 / $1,703.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,107.00 / $8,818.00