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South Carolina rates for HCPCS A4412

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.02 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.78 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $2.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $3.17 / $5.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.55 / $2.55 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.70 / $2.27