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South Carolina rates for HCPCS A4314

Insertion tray with 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
$28.28 / $37.06 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $28.24 / $30.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $28.31 / $40.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.29 / $21.22 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $18.04 / $27.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $30.35 / $55.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $23.87 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $16.27 / $21.24