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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
$7.00 / $7.00 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $7.00 / $7.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.56 / $10.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.26 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $6.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $7.54 / $13.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.95 / $5.01