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South Carolina rates for HCPCS A5055

Stoma cap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.00 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.20 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $2.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.20 / $1.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.70 / $3.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.78 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.89 / $1.23