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North Dakota rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.71 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.12 / $4.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.15 / $7.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.58 / $9.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $4.71 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.00 / $5.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.04 / $8.01