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South Carolina rates for HCPCS Q4249

Amniply, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.38 / $2,068.38 / $2,068.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.70 / $1,969.89 / $2,068.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $2,701.20 / $3,117.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.38 / $1,969.89 / $1,969.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.90 / $2,068.38 / $2,971.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.90 / $666.90 / $666.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.84 / $1,969.89 / $2,325.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.30 / $1,969.89 / $2,166.88