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South Carolina rates for HCPCS A4433

Ostomy Pouch Urinary; For Use On Barrier With Locking Flange (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $3.75 / $3.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.75 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $5.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $3.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.01 / $7.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.11 / $2.81