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South Carolina rates for HCPCS A4231

Infusion Set For External Insulin Pump Needle Type (Special Coverage Instructions Apply. See Cim: 60-14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.36 / $23.36 / $94.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $23.36 / $24.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.73 / $7.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $23.65 / $39.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00