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South Carolina rates for HCPCS Q4106

Dermagraft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.85 / $36.85 / $36.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $36.85 / $38.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.44 / $63.11 / $136.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.87 / $50.99 / $63.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.83 / $40.54 / $65.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.21 / $40.21 / $40.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $58.42 / $58.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.94 / $54.51