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South Carolina rates for HCPCS Q4184

Cellesta Or Cellesta Duo Per Square Centimeter (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.04 / $84.04 / $84.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $84.04 / $500.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $530.86 / $643.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $80.04 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.04 / $100.85 / $912.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.61 / $98.61 / $98.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $80.04 / $88.04