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North Dakota 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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.91 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $11.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $6.46 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.80 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.98 / $8.71