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South Carolina rates for HCPCS Q4151

Amnioband Or Guardian Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.63 / $428.40 / $428.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $134.88 / $141.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.14 / $275.14 / $275.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $141.63 / $184.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.25 / $134.88 / $134.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $158.28 / $329.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.28 / $158.28 / $158.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.63 / $144.04 / $177.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.10 / $134.88 / $148.38