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South Carolina rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $7 · 10th–90th $4–$130%20%10th90th$7Professionalmedian $5 · 10th–90th $4–$70%20%10th90th$5$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $10.47
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $8.32 / $14.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.55 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.37 / $5.89