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North Dakota 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
$6.62 / $6.62 / $6.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.81 / $6.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $10.07 / $10.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.61 / $13.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $6.62 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.23 / $7.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.86 / $7.25