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Maine rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.01 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $6.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $7.14 / $7.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $5.01 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.37 / $10.05