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South Carolina rates for HCPCS Q4102

Oasis Wound Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $12.48 / $12.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $4.21 / $7.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $13.50 / $16.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $11.88 / $11.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $11.88 / $11.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $13.50 / $25.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.61 / $15.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $11.88 / $13.07