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South Carolina rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.87 / $3.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.59 / $5.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.22 / $5.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
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
$1.20 / $1.73 / $2.16