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South Carolina rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $1,804.00 / $1,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,804.00 / $1,870.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.72 / $2,266.00 / $2,750.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $2,228.94 / $3,030.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.94 / $2,228.94 / $2,228.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.00 / $1,804.00 / $1,894.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.00 / $2,200.00 / $2,420.00