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South Carolina rates for HCPCS A4351

Intermittent Urinary Catheter; Straight Tip With Or Without Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.89 / $2.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.50 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.50 / $1.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.06 / $3.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.15 / $1.52