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South Carolina rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.66 / $1.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.08 / $2.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.92 / $3.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.94 / $1.25