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North Carolina rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.27 / $2.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $3.85 / $4.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.94 / $2.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $3.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.27 / $2.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $4.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.24 / $1.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $12.90 / $19.43