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South Carolina rates for HCPCS A4774

Ammonia test strips, for dialysis, per 50

Facilitymedian $4 · 10th–90th $3–$70%20%40%10th90th$4Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $87.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.63 / $7.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20