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North Carolina rates for HCPCS A4425

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $5.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $4.38 / $4.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.50 / $4.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.80 / $9.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.75 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $7.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $4.38 / $5.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $9.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.38 / $3.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $24.90 / $37.50