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South Carolina rates for HCPCS Q4185

Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc

Facilitymedian $589 · 10th–90th $589–$1,0230%50%90th$589Professionalmedian $589 · 10th–90th $589–$5890%50%$589$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $630.96 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20