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North Carolina rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.34 / $3.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $5.66 / $6.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.86 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $4.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.34 / $4.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $7.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.81 / $2.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $28.58