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South Carolina rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.74 / $2.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.45 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.55 / $1.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.19 / $3.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.15 / $1.58