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South Carolina rates for HCPCS Q4169

Artacent Wound Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.90 / $2,171.90 / $2,171.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $2,068.46 / $2,171.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.30 / $2,482.17 / $3,629.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $2,068.46 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.60 / $2,171.90 / $3,324.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.60 / $254.60 / $254.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.28 / $2,068.46 / $2,725.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.99 / $2,068.46 / $2,275.32