go back

South Carolina rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $34.67 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95