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South Carolina rates for HCPCS A4424

Ostomy Pouch Drainable With Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $5.32 / $5.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.30 / $8.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $4.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $6.00 / $10.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.15 / $4.04