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North Dakota 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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.50 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $4.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.51 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.51 / $5.37