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South Carolina rates for HCPCS Q4161

Bio-Connekt Wound Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.07 / $1,670.07 / $1,670.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $1,590.54 / $1,670.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.65 / $1,988.18 / $2,692.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,590.54 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.20 / $1,638.26 / $3,000.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.20 / $127.20 / $127.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.30 / $1,590.54 / $1,853.66