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South Carolina rates for HCPCS Q4239

Amnio-maxx or lite per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.75 / $1,997.75 / $1,997.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $1,902.62 / $1,997.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $477.00 / $2,289.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.93 / $1,902.62 / $1,902.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.00 / $1,997.75 / $3,396.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.75 / $379.75 / $379.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.79 / $2,038.50 / $2,467.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.49 / $1,902.62 / $2,092.88