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South Carolina rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $17.38 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $10.23 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $19.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.33 / $10.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $15.14 / $26.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $5.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.61 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.13 / $10.96