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South Carolina rates for HCPCS A4312

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Two-Way All Silicone (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.21 / $20.14 / $22.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $20.92 / $29.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.69 / $15.15 / $15.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $12.88 / $17.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $21.35 / $39.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $17.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $11.58 / $15.15