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South Carolina rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.23 / $94.23 / $94.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $89.75 / $94.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $579.66 / $1,924.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $114.02 / $490.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.00 / $490.00 / $490.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.41 / $93.37 / $94.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.78 / $89.75 / $98.73