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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.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $32.36 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $20.89 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $12.30 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $23.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.49 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.20 / $33.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $10.23 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.00 / $13.49