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South Carolina rates for HCPCS Q4218

Surgicord Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $123.00 / $127.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.63 / $154.50 / $187.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $142.50 / $209.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.50 / $142.50 / $142.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $129.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.50 / $150.00 / $160.50