go back

South Carolina rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.29 / $2.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $3.00 / $3.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $2.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.66 / $4.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.30 / $1.74