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South Carolina rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.15 / $53.15 / $53.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $53.15 / $58.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $57.98 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.42 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $49.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.10 / $57.10 / $104.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $44.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $44.92 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $29.95 / $39.97