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South Carolina rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $257.04 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20