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South Carolina rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $10.84 / $10.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $10.84 / $11.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.35 / $15.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $8.15 / $10.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.93 / $9.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $11.64 / $21.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.25 / $8.15