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South Carolina rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $15.44 / $15.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.92 / $15.44 / $16.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $13.87 / $20.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.49 / $11.60 / $11.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $14.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $16.57 / $30.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $13.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.05 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $8.19 / $11.60