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South Carolina rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.31 / $2.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.46 / $3.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.87 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $2.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $2.69 / $4.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.36 / $1.78