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South Carolina rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.36 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $4.32 / $7.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.43 / $4.43
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
$1.70 / $2.56 / $3.74