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North Dakota rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $27.54 / $34.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $22.91 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.22 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $25.70