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North Carolina rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.41 / $4.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.41 / $3.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $2.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $5.19 / $5.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.93 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $4.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $3.41 / $4.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $7.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.85 / $2.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $19.42 / $29.25