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South Carolina rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.57 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $3.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.62 / $1.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.24 / $4.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.98 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.20 / $1.62