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North Dakota rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.31 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.00 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.17 / $5.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.63 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.81 / $3.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.43 / $3.65