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South Carolina rates for HCPCS Q4235

Amniorepair or altiply, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.38 / $92.38 / $92.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $92.38 / $155.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $92.38 / $120.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $87.98 / $87.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.38 / $150.55 / $255.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.55 / $150.55 / $150.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $92.37 / $123.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $87.98 / $96.78