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North Dakota rates for HCPCS A4425

Ostomy Pouch Drainable; For Use On Barrier With Non-Locking Flange With Filter (2 Piece System) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.19 / $3.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.53 / $5.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.68 / $7.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $3.64 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.50 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.12 / $3.99