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North Dakota 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
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.13 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.19 / $4.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.34 / $5.01