go back

North Carolina rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Facilitymedian $17 · 10th–90th $8–$390%20%10th90th$17Professionalmedian $15 · 10th–90th $9–$160%20%10th90th$15$0.2$1.0$5.0$20.0$100.0$500.0

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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.18 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $26.30 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $15.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.77 / $13.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $16.98 / $28.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.59 / $12.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $13.80
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $144.54