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South Carolina rates for HCPCS A4720

Dialysat sol fld vol > 249cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $33.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00