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South Carolina rates for HCPCS A4390

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $10 · 10th–90th $5$180%20%10th90th$10Professionalmedian $8 · 10th–90th $5$110%20%10th90th$8$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
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$8.13
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$15.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$21.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$4.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.25
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.46
Typical High
$8.71