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South Carolina rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $35.61 / $35.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.83 / $33.92 / $35.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $35.61 / $46.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $35.61 / $61.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $21.68 / $21.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $33.92 / $37.31