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South Carolina rates for HCPCS A4405

Ostomy Skin Barrier Non-Pectin Based Paste Per Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.81 / $4.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.76 / $5.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $3.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.09 / $7.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.14 / $2.72