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South Carolina rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $3.95 / $4.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.92 / $5.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.97 / $2.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $3.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $4.17 / $7.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.22 / $2.96