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South Carolina rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $38.59 / $147.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $23.60 / $37.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.50 / $299.39 / $2,940.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00