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South Carolina rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.07 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $4.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.45 / $2.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.39 / $6.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.48 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.82 / $2.45