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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 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $9.78 / $9.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $9.78 / $10.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $7.78 / $7.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.35 / $14.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $8.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $10.54 / $19.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $4.76 / $7.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.51 / $7.01