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South Carolina rates for HCPCS A4311

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $32.25 / $34.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $16.55 / $18.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $17.23 / $24.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $12.44 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.57 / $16.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $17.55 / $32.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $14.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $13.98 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $9.51 / $12.46