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South Carolina rates for HCPCS A4379

Ostomy Pouch Urinary With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.77 / $16.77 / $16.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.77 / $18.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.92 / $25.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $18.02 / $32.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.17 / $14.17 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $9.44 / $12.62