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South Carolina rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.85 / $46.85 / $46.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $47.42 / $48.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $37.72 / $45.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.85 / $54.27 / $216.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $54.27 / $54.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $191.39 / $1,356.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $57.13 / $62.84