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South Carolina rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.11 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.76 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $52.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $44.67 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.30 / $42.66