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North Carolina rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.34 / $6.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $5.34 / $5.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.65 / $4.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.56 / $8.10 / $11.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.57 / $4.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $7.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $5.34 / $6.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $11.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.35 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.90 / $4.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.33 / $30.33 / $45.68