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North Carolina rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.66 / $7.66 / $9.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $7.66 / $7.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.65 / $6.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $11.62 / $15.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.56 / $6.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $12.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $7.66 / $10.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $19.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.36 / $6.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $71.70