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South Carolina rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $9.13 / $9.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $9.13 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.83 / $12.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $6.86 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $8.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $9.69 / $17.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.15 / $6.54