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South Carolina rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $5 · 10th–90th $3–$100%10%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $8.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.57
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.61 / $11.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.39 / $4.57