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South Carolina rates for HCPCS Q4225

Amniobind, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.82 / $1,498.82 / $1,498.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $1,427.45 / $1,498.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,740.00 / $2,088.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.00 / $1,573.76 / $2,547.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.00 / $1,218.00 / $1,218.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.26 / $1,498.82 / $1,803.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.69 / $2,288.69 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.25 / $1,427.45 / $1,570.20