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North Carolina rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $5.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.59 / $4.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $7.80 / $9.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $3.94 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $6.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $4.59 / $6.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $6.30 / $9.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.47 / $3.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $26.15 / $39.38