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North Dakota rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $6 · 10th–90th $5–$130%20%40%10th90th$6Professionalmedian $6 · 10th–90th $3–$100%10%20%10th90th$6$2.0$5.0$10.0$20.0$50.0

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
$5.01 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.55 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.41 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.07 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $5.25 / $10.23