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South Carolina rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $354.81 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $316.23 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $275.42 / $1,445.44