go back

North Carolina rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $6 · 10th–90th $3–$790%10%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$60%50%10th90th$5$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.55 / $5.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $6.31 / $10.47
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.55 / $5.01
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $53.70