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North Dakota rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.30 / $7.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $10.91 / $11.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $11.74 / $14.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $7.18 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.59 / $7.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.19 / $7.87