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North Carolina rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $14.87 / $18.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $14.87 / $14.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $25.19 / $31.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $12.74 / $13.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $19.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $14.87 / $20.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $12.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $20.60 / $31.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $8.06 / $12.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.36 / $85.36 / $128.55