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South Carolina rates for HCPCS A4399

Ostomy Irrigation Supply; Cone/Catheter With Or Without Brush Cm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $13.71 / $13.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $13.71 / $14.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.35 / $18.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $10.29 / $10.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $13.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $14.49 / $23.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $11.57 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $7.72 / $10.30