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South Carolina rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.90 / $3.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.62 / $4.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.18 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $3.10 / $5.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.44 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.72 / $2.19