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South Carolina rates for HCPCS A4415

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity Larger Than 4 X 4 Inches Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $6.69 / $6.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.69 / $7.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.56 / $10.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.03 / $5.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $5.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $7.21 / $13.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.77 / $5.04