go back

South Carolina rates for HCPCS Q4130

Strattice Tm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $5.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $5.66 / $13.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $6.79 / $12.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00