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South Carolina rates for HCPCS A4328

Female external urinary collection device; pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.56 / $11.56 / $11.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $11.56 / $12.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $14.23 / $18.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $6.70 / $16.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $13.29 / $26.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
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
$4.80 / $6.89 / $8.69