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North Carolina rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $4.18 / $4.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $6.34 / $8.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.58 / $3.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $5.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.18 / $5.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.18
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
$1.82 / $2.38 / $3.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $24.84 / $37.04