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South Carolina rates for HCPCS A4358

Urinary Drainage Bag Leg Or Abdomen Vinyl With Or Without Tube With Straps Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $6.30 / $6.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $6.30 / $8.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.30 / $8.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.57 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.73 / $6.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $7.04 / $12.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.89 / $5.08