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South Carolina rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $776.25 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $245.47 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $1,047.13