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South Carolina rates for HCPCS Q4176

Neopatch Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.80 / $155.80 / $155.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.53 / $155.80 / $157.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $77.25 / $93.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.20 / $165.54 / $239.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $75.20 / $75.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.76 / $167.51 / $179.24