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North Carolina rates for HCPCS A4391

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

Facilitymedian $9 · 10th–90th $4$200%20%10th90th$9Professionalmedian $7 · 10th–90th $5$80%20%10th90th$7$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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $13.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.90 / $7.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $8.71 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.80 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.90 / $6.92
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
$50.12 / $50.12 / $74.13