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South Carolina rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.40 / $46.40 / $46.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $46.40 / $50.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $47.90 / $66.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.01 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $34.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.79 / $50.82 / $91.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $38.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $39.22 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $27.66 / $36.90