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North Carolina rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $42.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $34.49 / $34.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.88 / $58.42 / $71.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $29.54 / $31.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $45.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $34.49 / $45.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $26.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.30 / $47.30 / $72.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $18.70 / $28.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $187.06 / $187.06
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $196.11 / $295.35