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South Carolina rates for HCPCS A7502

Replacement Diaphragm/Faceplate For Tracheostoma Valve Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.77 / $55.77 / $55.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $55.77 / $61.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $61.54 / $83.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.01 / $37.70 / $37.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $32.04 / $49.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $59.89 / $109.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $46.00
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
$23.20 / $32.04 / $39.93