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North Dakota 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
$8.65 / $8.65 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $7.59 / $8.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $13.16 / $13.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $14.01 / $17.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $8.65 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.60 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.05 / $12.00