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North Carolina rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.17 / $3.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.52 / $3.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $4.80 / $6.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.72 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $4.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $3.17 / $4.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $6.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.81 / $2.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $27.15