go back

North Carolina rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $7.60 / $9.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $7.60 / $7.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $8.35 / $15.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.50 / $6.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $10.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.60 / $9.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.12 / $6.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.18 / $43.18 / $65.03