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North Dakota rates for HCPCS A4377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.82 / $4.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $6.62 / $6.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.20 / $9.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.36 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.79 / $4.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $4.78