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North Dakota rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.60 / $1.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.77 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.03 / $3.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.83 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.07 / $2.00