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South Carolina rates for HCPCS Q4251

Vim, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.60 / $147.60 / $147.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $147.60 / $153.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.57 / $185.40 / $225.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.00 / $153.00 / $250.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $126.00 / $126.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $147.60 / $154.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $180.00 / $198.00