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South Carolina rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.06 / $2.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.46 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $1.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $2.06 / $4.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.23 / $1.58