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South Carolina rates for HCPCS Q4196

PuraPly Antimicro 3.76x3.76CM EX SHEE

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.08 / $106.08 / $132.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $106.08 / $108.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.86 / $152.04 / $252.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $148.88 / $171.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $101.03 / $101.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.81 / $113.48 / $221.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $59.81 / $59.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.46 / $110.73 / $137.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.95 / $101.03 / $111.13