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South Carolina rates for HCPCS A4265

Paraffin Per Pound (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.81 / $4.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $16.00 / $23.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.58 / $5.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.38 / $8.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
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
$1.58 / $2.25 / $2.85