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North Dakota rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $8.30 / $8.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $7.28 / $8.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $12.62 / $12.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.26 / $16.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.56 / $8.30 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.32 / $9.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.38 / $11.42