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South Carolina rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $3.07 / $3.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.78 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $2.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $3.26 / $6.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.73 / $2.20