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South Carolina rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $13.70 / $17.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.32 / $21.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $32.45 / $32.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $21.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $18.69 / $28.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $18.69 / $18.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $10.45 / $17.07