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South Carolina rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.87 / $5.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.09 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $4.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $5.23 / $9.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.11 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.37 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.75 / $3.49