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South Carolina rates for HCPCS A4316

Insertion Tray With 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
$30.63 / $30.63 / $30.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $30.63 / $34.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $30.77 / $43.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $19.37 / $19.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $23.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $33.61 / $60.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $25.88 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $17.98 / $23.02