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North Carolina rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.37 / $3.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.71 / $7.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $2.89 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $4.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $3.37 / $4.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $7.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.83 / $2.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $28.88