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North Carolina rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.11 / $2.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $3.21 / $3.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.81 / $1.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $3.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $2.11 / $2.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $4.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.14 / $1.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $18.07