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South Carolina rates for HCPCS Q4110

Primatrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.68 / $68.68 / $68.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $65.41 / $68.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $50.54 / $78.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.70 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.27 / $65.41 / $104.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.81 / $34.81 / $34.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.68 / $85.03 / $85.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.87 / $65.41 / $71.95