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South Carolina rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.24 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.27 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $8.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $6.17 / $11.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.39 / $4.57