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South Carolina rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $132.90 / $132.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $134.52 / $162.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $152.84 / $281.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.97 / $162.08 / $178.29