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South Carolina rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.51 / $20.51 / $20.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $20.51 / $22.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.44 / $29.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $22.04 / $40.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $17.34 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $11.56 / $14.67