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South Carolina rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $37.15 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.88 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $66.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $50.12 / $91.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $21.88 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $26.92 / $36.31