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South Carolina rates for HCPCS Q4128

Flex Hd Or Allopatch Hd Per Square Centimeter (Desc Revised 10/01/2022)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.41 / $31.41 / $79,487.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $31.21 / $31.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $31.41 / $40.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $29.91 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $34.54 / $66.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $30.68 / $30.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $29.91 / $32.90