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South Carolina rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.00 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $14.79 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.94 / $10.72