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North Carolina rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $7.35 / $7.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $8.08 / $15.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.30 / $6.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.04 / $9.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.35 / $10.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $10.10 / $15.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.98 / $6.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $41.83 / $63.00