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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
$7.08 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.59 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $11.22 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.37 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.75 / $12.30