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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.33 / $9.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $7.33 / $7.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.64 / $11.15 / $15.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.29 / $6.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $9.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.33 / $9.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $10.10 / $15.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.97 / $6.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $41.73 / $62.85