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South Carolina rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.87 / $1.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.34 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $1.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.00 / $3.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.00 / $1.42