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North Carolina rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $8 · 10th–90th $4–$170%20%10th90th$8Professionalmedian $7 · 10th–90th $4–$70%20%40%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $6.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.57 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $13.49
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.55 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.47 / $6.46
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $67.61