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North Dakota 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
$6.09 / $6.09 / $6.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.34 / $6.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $9.27 / $9.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.85 / $12.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $6.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.90 / $6.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $8.44