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North Carolina rates for HCPCS A4399

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

Facilitymedian $15 · 10th–90th $7–$320%10%20%10th90th$15Professionalmedian $12 · 10th–90th $8–$140%20%40%10th90th$12$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.51 / $10.47
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $14.79 / $24.55
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
$5.50 / $6.61 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.32 / $12.02
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $128.82