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South Carolina rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

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
$2.68 / $3.95 / $4.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.92 / $5.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $4.15 / $7.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
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 / $2.31 / $2.99