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North Dakota rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.37 / $48.37 / $48.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.21 / $42.39 / $48.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.16 / $73.50 / $75.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $78.02 / $98.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.35 / $48.37 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $30.93 / $53.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $27.64 / $52.98