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South Carolina rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.71 / $41.71 / $41.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $41.71 / $45.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $45.38 / $62.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.24 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.15 / $44.80 / $81.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.24 / $35.24 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $23.50 / $31.36