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South Carolina rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.81 / $0.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.65 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.97 / $6.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.47 / $0.60