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South Carolina rates for HCPCS Q4130

Strattice, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $151.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.41 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $125.89