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South Carolina rates for HCPCS A4360

Adult Incontinence Garment (E.G. Brief Diaper) Each (Not Covered By Medicare. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.50 / $0.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.62 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.56 / $1.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
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
$0.20 / $0.28 / $0.38