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South Carolina rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $40.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $40.47 / $42.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $47.72 / $55.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.85 / $43.54 / $82.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $49.12 / $53.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $38.54 / $52.23