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South Carolina rates for HCPCS A4913

Miscellaneous dialysis supplies, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $14.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20