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South Carolina rates for HCPCS A4415

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

Facilitymedian $6 · 10th–90th $3–$110%10%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 / $8.51 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.01 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $9.77
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $5.37
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.76 / $13.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.98 / $5.37