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South Carolina rates for HCPCS A4222

Infusion Supplies For External Drug Infusion Pump Per Cassette Or Bag (List

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $41.54 / $41.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $41.54 / $45.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $43.54 / $43.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.57 / $56.54 / $77.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $35.75 / $55.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.07 / $51.00 / $87.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00
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
$17.14 / $27.24 / $39.26