go back

North Carolina rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $8.91 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.57 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $7.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.02 / $4.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $5.37 / $8.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.34 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.88 / $4.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $44.67