go back

North Carolina rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $4.32 / $4.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.96 / $4.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $7.32 / $9.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.70 / $3.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $5.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.32 / $5.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $5.90 / $9.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.34 / $3.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $24.60 / $37.04