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South Carolina rates for HCPCS Q4138

Biodfence Dryflex Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.01 / $103.01 / $103.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $103.01 / $200.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $252.19 / $291.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.01 / $144.21 / $282.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.85 / $204.85 / $204.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $100.40 / $192.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $98.11 / $107.92