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South Carolina rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.24 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.23 / $1.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.43 / $2.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.77 / $1.01