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South Carolina rates for HCPCS Q4183

Surgigraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $82.00 / $85.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $60.57 / $73.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $95.00 / $137.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.05 / $160.91 / $177.01