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North Dakota 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
$2.77 / $2.77 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.43 / $2.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $4.20 / $4.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.55 / $5.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.77 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.77 / $3.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.80 / $3.81