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South Carolina rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $11.03 / $12.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.60 / $16.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $9.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $11.68 / $21.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $9.32 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.21 / $8.28