go back

North Carolina rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $18.37 / $22.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $18.37 / $18.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $20.17 / $38.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $15.74 / $16.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $13.91 / $24.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $18.37 / $24.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $38.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $9.96 / $15.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $99.66 / $99.66
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.48 / $104.48 / $157.35