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South Carolina rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $5.17 / $5.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.17 / $5.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.30 / $7.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $4.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $5.53 / $10.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.90 / $3.87