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South Carolina rates for HCPCS Q4254

Novafix dl per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $384.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.85 / $494.40 / $600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.08 / $355.88 / $528.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.84 / $329.84 / $329.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.60 / $393.60 / $413.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.60 / $480.00 / $528.00