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South Carolina rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.30 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $13.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.41 / $8.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $10.23 / $18.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.47 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.50 / $7.41