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South Carolina rates for HCPCS A4435

Ostomy Pouch Drainable High Output With Extended Wear Barrier(One-Piece System) With Or Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $6.43 / $6.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.43 / $7.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.62 / $9.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $5.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.95 / $13.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.76 / $5.01