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North Carolina rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $4.09 / $4.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $6.24 / $8.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.52 / $3.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $5.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $4.09 / $5.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $8.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.22 / $3.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $23.36 / $35.18