go back

South Carolina rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,187.76 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $389.05 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $2,570.40 / $2,754.23