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South Carolina rates for HCPCS A4417

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $4.17 / $4.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.93 / $6.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.13 / $3.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $4.41 / $8.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.35 / $2.98