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South Carolina rates for HCPCS A4393

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

Facilitymedian $10 · 10th–90th $5–$170%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $14.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $8.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $20.42
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $4.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.90 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $8.13