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South Carolina rates for HCPCS A4246

Betadine Or Phisohex Solution Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.55 / $1.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $3.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $1.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.15 / $3.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $30.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.18 / $1.78