go back

North Carolina rates for HCPCS A4430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $10.42 / $12.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $10.42 / $10.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $15.83 / $17.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.93 / $9.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $13.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $10.42 / $13.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $14.30 / $22.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.65 / $8.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $59.26 / $89.25