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North Carolina rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.21 / $58.21 / $71.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.10 / $58.21 / $58.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.57 / $98.60 / $121.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $49.86 / $53.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $44.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $77.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $58.21 / $76.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $44.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $122.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $31.22 / $47.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.87 / $315.77 / $315.77
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.07 / $331.07 / $498.60