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South Carolina rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $4 · 10th–90th $2$90%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.02
Typical High
$5.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.17
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$7.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.50
Typical High
$9.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$2.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.34
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.88
Typical High
$3.89