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South Carolina rates for HCPCS Q4118

Matristem Micromatrix 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.54 / $2.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.06 / $3.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.65 / $4.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.54 / $3.38