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South Carolina rates for HCPCS A4378

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.18 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $43.65 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $25.70 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $50.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $27.54 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $38.90 / $69.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $14.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $16.60 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.42 / $27.54