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South Carolina rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.99 / $7.99 / $7.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $7.99 / $8.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $9.99 / $13.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $11.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $9.19 / $17.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
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
$3.32 / $4.94 / $6.00