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North Dakota rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.83 / $3.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.84 / $4.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.30 / $6.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $3.19 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.06 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.18 / $4.49