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North Dakota rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.33 / $1.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.27 / $2.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.51 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.97 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.88 / $1.65