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South Carolina rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.27 / $4.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.57 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.82 / $4.57