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South Carolina rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.09 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.74 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $3.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.86 / $2.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.57 / $4.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.12 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.38 / $1.86