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South Carolina rates for HCPCS A4378

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

Facilitymedian $34 · 10th–90th $17–$600%20%10th90th$34Professionalmedian $27 · 10th–90th $18–$370%10%10th90th$27$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $50.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $27.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $39.81 / $69.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $20.42 / $27.54