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North Carolina rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $7 · 10th–90th $3–$180%20%10th90th$7Professionalmedian $6 · 10th–90th $4–$70%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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $7.41 / $12.59
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
$2.69 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $6.03
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
$42.66 / $42.66 / $63.10