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North Carolina rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.68 / $45.68 / $56.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.03 / $45.68 / $45.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $50.21 / $95.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $39.11 / $41.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $34.45 / $60.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $45.68 / $59.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $62.60 / $96.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $24.93 / $40.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.50 / $247.76 / $247.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.76 / $259.76 / $391.20