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South Carolina rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.59 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $7.41 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $14.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.94 / $8.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.96 / $19.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.79 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.89 / $7.94