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Maine rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $14.28 / $14.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $19.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.79 / $18.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $20.30 / $20.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $14.28 / $18.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $12.42 / $28.57