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South Carolina rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $117.49 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $22.91 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $22.39 / $125.89