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South Carolina rates for HCPCS A4395

Ostomy deodorant for use in ostomy pouch, solid, per tablet

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $5.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05