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South Carolina rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.44 / $2.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.06 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $2.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.82 / $4.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.40 / $1.90