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North Dakota rates for HCPCS A4413

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

Facilitymedian $5 · 10th–90th $4–$110%20%10th90th$5Professionalmedian $5 · 10th–90th $3–$90%10%20%10th90th$5$2.0$5.0$10.0$20.0$50.0

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
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.91 / $11.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.61 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.55 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $4.37 / $9.12