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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
$3.02 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.61 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $6.03 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.82 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $6.46