go back

South Carolina rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.64 / $1,641.92 / $18,197.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $120.00 / $120.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $55.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $6.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00