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North Dakota 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
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.53 / $1.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.66 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.65 / $3.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.13 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.03 / $1.93