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South Carolina rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.82 / $144.82 / $144.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $144.82 / $164.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $144.82 / $188.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $137.93 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.82 / $160.65 / $324.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.65 / $160.65 / $160.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.90 / $137.93 / $151.72