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North Carolina rates for HCPCS A4424

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

Facilitymedian $6 · 10th–90th $3–$120%10%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$50%50%10th90th$5$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.12 / $9.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.31 / $4.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.89 / $10.00
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
$2.14 / $2.57 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.31 / $4.79
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
$33.88 / $33.88 / $50.12