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North Carolina rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.13 / $16.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.17 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $9.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $7.08 / $12.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.16 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.89 / $5.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $60.26