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South Carolina rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.95 / $735.95 / $735.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $735.95 / $762.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,264.86 / $3,882.83 / $6,903.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.60 / $924.43 / $1,121.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.36 / $735.95 / $1,251.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.91 / $337.91 / $337.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.00 / $902.00 / $947.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.70 / $1,997.50 / $2,097.38