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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
$34.35 / $34.35 / $34.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.78 / $34.35 / $37.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.82 / $51.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $31.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.85 / $36.90 / $67.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.02 / $29.02 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $19.36 / $25.83