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South Carolina rates for HCPCS A4313

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Three-Way For Continuous Irrigation (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.69 / $20.69 / $20.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $20.69 / $22.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $20.92 / $29.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $15.54 / $15.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.21 / $18.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $22.22 / $40.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.49 / $17.49 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $11.78 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $11.89 / $15.56