go back

South Carolina rates for HCPCS Q4103

Oasis Burn Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.12 / $13.12 / $93.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.94 / $13.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $15.00 / $18.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $12.49 / $12.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $13.12 / $23.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.53 / $13.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $12.49 / $13.74