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South Carolina rates for HCPCS A4216

Sterile Water Saline And/Or Dextrose Diluent/ Flush 10 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.42 / $0.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $11.44 / $11.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.64 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.55 / $1.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.38