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South Carolina rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.25 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $10.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.62 / $6.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $8.13 / $14.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.39 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.17 / $5.62