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South Carolina rates for HCPCS A4680

Activated carbon filter, ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $34.11 / $42.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.66 / $10.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $53.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.83 / $46.74 / $72.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.74 / $46.74 / $46.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $26.03 / $35.32