go back

North Carolina rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.52 / $2.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $3.83 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.16 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $3.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.52 / $3.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.37 / $2.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $21.60