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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

Facilitymedian $9 · 10th–90th $8$230%20%40%10th90th$9Professionalmedian $9 · 10th–90th $5$150%10%10th90th$9$5.0$10.0$20.0$50.0

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 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.94 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.79 / $18.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $10.96 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.89 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.76 / $14.79