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South Carolina rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $61.66 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $56.23 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $83.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $41.69 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $64.57 / $112.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $44.67