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South Carolina rates for HCPCS A4425

Ostomy Pouch Drainable; For Use On Barrier With Non-Locking Flange With Filter (2 Piece System) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $4.00 / $4.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.93 / $6.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.28 / $7.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.12 / $2.86