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South Carolina rates for HCPCS A4244

Alcohol Or Peroxide Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.52 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $1.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.71 / $1.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.40 / $0.55