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South Carolina rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $741.31 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,981.07 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $1,995.26