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North Dakota rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.50 / $1.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.27 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.65 / $3.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.53 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.03 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.03 / $2.41