go back

South Carolina rates for HCPCS Q4150

Allowrap Ds Or Dry Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $80.19 / $82.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $82.08 / $106.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $78.17 / $78.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $78.17 / $78.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.30 / $85.99 / $173.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $74.30 / $74.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $78.17 / $82.08