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South Carolina rates for HCPCS A4392

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

Facilitymedian $9 · 10th–90th $5–$160%10%20%10th90th$9Professionalmedian $7 · 10th–90th $4–$100%10%10th90th$7$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.92 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $13.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.41
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $18.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.47 / $7.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.50 / $7.41