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South Carolina rates for HCPCS A4430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $9.52 / $10.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $10.73 / $14.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $8.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $10.22 / $18.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.03 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.36 / $7.16