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South Carolina rates for HCPCS A4616

Tubing (Oxygen) Per Foot (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.07 / $0.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.21 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.08 / $9.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.06