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South Carolina rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $6 · 10th–90th $3–$120%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$70%10%10th90th$5$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.25 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $10.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $14.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.39 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.17 / $5.62