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Maryland rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $42.10 / $58.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $44.96 / $45.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $66.48 / $95.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $33.17 / $52.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $46.54