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South Carolina rates for HCPCS A4225

Supplies For External Insulin Infusion Pump Syringe Type Cartridge Sterile Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.76 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.76 / $3.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.56 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $3.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $3.04 / $6.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
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
$1.13 / $1.70 / $2.08