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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $7.98 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.98 / $7.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $12.12 / $16.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.83 / $7.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $10.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $7.98 / $10.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $10.90 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $4.32 / $6.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $45.37 / $68.33