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North Carolina rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $7 · 10th–90th $3–$160%10%20%10th90th$7Professionalmedian $6 · 10th–90th $3–$60%20%40%10th90th$6$0.1$0.5$2.0$10.0$50.0$200.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.47 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.89 / $5.50
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $6.76 / $11.48
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
$2.45 / $3.02 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.80 / $5.50
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
$38.90 / $38.90 / $57.54