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North Dakota 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
$2.83 / $2.83 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.49 / $2.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.30 / $4.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.55 / $5.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $2.83 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.81 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.65 / $3.10