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North Dakota rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $8.05 / $9.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $13.96 / $14.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $14.77 / $18.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $9.19 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.88 / $10.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $5.36 / $10.07