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South Carolina rates for HCPCS A4431

Ostomy Pouch Urinary; With Barrier Attached Withfaucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $6.94 / $6.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.94 / $7.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $8.19 / $10.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $6.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $7.46 / $13.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.92 / $5.55