go back

North Carolina rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.82 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.77 / $3.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.56 / $1.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.82 / $2.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.98 / $1.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $15.60