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South Carolina rates for HCPCS A4437

Irrigation Supply; Sleeve Disposable Per Month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.41 / $3.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.41 / $3.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $25.74 / $38.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $7.98 / $28.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $6.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $4.13 / $32.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
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
$8.64 / $12.96 / $18.36