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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
$17.46 / $17.46 / $17.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $15.30 / $17.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $26.52 / $27.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $28.03 / $35.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $17.46 / $112.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.17 / $19.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.98 / $20.01