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North Carolina rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $9.55 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.50 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $8.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.55 / $4.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $6.31 / $10.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.39 / $5.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $53.70