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South Carolina rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $5.22 / $5.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $4.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $6.30 / $7.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $4.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.48 / $10.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.41 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.03 / $4.01