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Maine rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.74 / $7.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.74 / $5.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.99 / $11.47