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Maryland rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.33 / $7.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $7.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.28 / $14.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.13 / $8.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $7.20