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North Dakota rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.15 / $3.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $5.32 / $5.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.68 / $7.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $3.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.09 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $3.32 / $4.98