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South Carolina rates for HCPCS A4322

Irrigation Syringe Bulb Or Piston Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.36 / $3.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.20 / $5.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $4.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $4.00 / $8.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.99 / $2.50