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South Carolina rates for HCPCS Q4227

AmnioCore Amniotic Membrane EX SHEE 2 CM X 12 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.19 / $1,231.19 / $1,231.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.55 / $1,172.56 / $1,231.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.14 / $1,328.03 / $1,593.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.19 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.89 / $1,207.73 / $2,051.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.89 / $290.89 / $290.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $1,231.18 / $1,550.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.76 / $1,172.56 / $1,289.82