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South Carolina rates for HCPCS A4774

Ammonia Test Strips

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $63.45 / $88.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $13.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.52 / $7.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00