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South Carolina rates for HCPCS A4708

Acetate Conc Sol Per Gallon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $11.70 / $11.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $10.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00