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South Carolina rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $2.71 / $2.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.39 / $4.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.80 / $2.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $3.00 / $4.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.28 / $2.28 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.52 / $1.94