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South Carolina rates for HCPCS A4452

Tape Waterproof Per 18 Square Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.26 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.30 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.44 / $1.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
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
$0.18 / $0.26 / $0.34