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South Carolina rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $10.74 / $11.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.60 / $16.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $9.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $11.54 / $21.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $5.22 / $8.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.05 / $7.70