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South Carolina rates for HCPCS Q4111

Gammagraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $7.87 / $8.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $8.19 / $10.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.87 / $7.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $8.66 / $15.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.10 / $7.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $8.26 / $9.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.87 / $8.66