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South Carolina rates for HCPCS A5071

Ostomy pouch, urinary; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.51 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $5.01 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $9.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.37 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $7.59 / $13.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.98 / $5.37