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North Carolina rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.66 / $5.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $8.59 / $9.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.84 / $5.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $7.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $5.66 / $7.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $11.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.09 / $5.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $32.17 / $48.45