go back

North Carolina rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.73 / $2.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $4.15 / $5.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.34 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $3.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.73 / $3.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $5.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.48 / $2.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $18.38 / $23.40