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Ostomy Irrigation Cone or Catheter, with or without Brush

North Dakota rates for HCPCS A4399

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

Rates data updated July 2026.

How much does Ostomy Irrigation Cone or Catheter, with or without Brush cost?

$15.85

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $12.59 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$12.59 to $19.05
FacilityA hospital or hospital-owned outpatient department$12.59$10.96 to $12.59

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $20Professionalmedian $16 · 10th to 90th $7 to $21
$5$10$20$50facility $13professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$10.96
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.95
Typical High
$25.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$12.59
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.47
Typical High
$19.95

Where North Dakota sits

The same service costs 2.2 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 4th of 51

$15.85

WI $17.38CO $7.76

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.