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North Dakota rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.99 / $2.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.21 / $3.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.79 / $4.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.12 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.44 / $2.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.19 / $3.87