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South Carolina rates for HCPCS A4223

Infusion Supplies Not Used With External Infusion Pump Per Cassette Or Bag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $38.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $22.20 / $42.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $11.23 / $11.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00