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North Dakota rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.17 / $4.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $7.22 / $7.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.58 / $9.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $5.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.07 / $5.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.77 / $5.20