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South Carolina rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $5 · 10th–90th $3–$90%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$50%20%10th90th$4$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.61 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $7.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.89 / $10.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $4.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.51 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4.47