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South Carolina rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.33 / $7.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.33 / $8.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $9.17 / $12.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $3.32 / $12.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $8.43 / $20.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
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
$3.05 / $4.54 / $5.51