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South Carolina rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $1.12 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.78 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.14 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.74