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South Carolina rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two 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
$1.66 / $1.66 / $1.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.63 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $3.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.66 / $1.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.40 / $4.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.00 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.23 / $1.66