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South Carolina rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $7.28 / $7.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.90 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $6.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $7.71 / $14.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.15 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $4.09 / $5.47