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South Carolina rates for HCPCS A4301

Implantable Access Total Catheter Port/Reservoir (E.G. Venous Arterial Epidural Or Subarachnoid Peritoneal Etc.) (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $2,985.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $34.49 / $34.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.03 / $69.03 / $69.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.66 / $34.49 / $46.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00