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South Carolina rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.15 / $3.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.78 / $4.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.60 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $3.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $3.64 / $6.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.87 / $2.52