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South Carolina rates for HCPCS Q4152

Dermapure Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.25 / $53.25 / $53.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $50.72 / $53.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $86.23 / $115.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $75.47 / $115.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.25 / $109.25 / $109.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $54.62 / $94.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $50.72 / $55.79