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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
$45.22 / $45.22 / $45.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $45.22 / $49.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.43 / $68.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.13 / $33.97 / $33.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $33.97 / $39.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $48.58 / $88.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $37.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $25.50 / $34.00