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South Carolina rates for HCPCS A4750

Blood Tubing Arterial Or Venous For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.46 / $8.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.82 / $12.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $9.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $8.99 / $13.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.99 / $8.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.93 / $8.52