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South Carolina rates for HCPCS Q4247

AmnioText EX SHEE 1 CM X 1 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,017.60 / $3,017.60 / $3,017.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $3,017.60 / $3,054.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.12 / $592.25 / $718.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $1,667.50 / $4,224.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $3,000.00 / $3,168.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.00 / $3,200.00 / $3,520.00