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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.90 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $19.50 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $19.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $25.70 / $28.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $34.67 / $64.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $19.50 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $24.55