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North Carolina rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.89 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $5.91 / $6.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.33 / $3.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $5.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $3.89 / $5.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $8.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.09 / $3.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $21.98 / $32.10