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North Carolina rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Facilitymedian $2 · 10th–90th $1–$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.47 / $3.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.26 / $1.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $2.24 / $3.80
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
$0.81 / $0.98 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.26 / $1.82
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
$12.88 / $12.88 / $19.05