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South Carolina rates for HCPCS A4690

Dialyzer (Artificial Kidneys) All Types All Sizes For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.91 / $338.07 / $420.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $39.38 / $55.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.65 / $487.65 / $487.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $526.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.07 / $463.43 / $715.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.43 / $463.43 / $463.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $257.95 / $350.41