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South Carolina rates for HCPCS A4354

Insertion Tray With Drainage Bag But Without Catheter (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $13.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $13.19 / $14.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $16.50 / $22.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.11 / $19.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $15.17 / $36.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
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
$5.48 / $7.86 / $9.91