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South Carolina rates for HCPCS A4383

Ostomy Pouch Urinary For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.49 / $31.49 / $31.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $31.49 / $34.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $34.04 / $47.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $26.07 / $26.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $22.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.08 / $33.83 / $61.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $26.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $26.61 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $17.73 / $23.68