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South Carolina rates for HCPCS A4315

Insertion Tray With 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
$99.33 / $256.17 / $620.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $29.47 / $32.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $30.27 / $42.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.80 / $26.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $31.67 / $57.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $24.90 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $16.93 / $22.17