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South Carolina rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $6 · 10th–90th $3–$100%20%10th90th$6Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$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 / $4.37 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.76 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $8.91
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $7.08 / $12.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.63 / $4.90