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South Carolina rates for HCPCS Q4221

Amniowrap2 Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.05 / $2,059.05 / $2,059.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.60 / $1,961.00 / $2,059.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $2,400.00 / $2,880.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,961.00 / $1,961.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.00 / $1,961.00 / $1,961.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.00 / $2,204.80 / $3,500.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.00 / $1,344.00 / $1,344.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,804.12 / $1,961.00 / $2,157.10