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South Carolina rates for HCPCS A4561

Pessary, reusable, rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $22.91 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.88 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $38.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.60 / $18.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $25.70 / $45.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $10.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $16.98 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $18.20