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Maryland rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $15.19 / $21.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $16.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $13.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $23.99 / $34.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $11.97 / $18.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $16.79