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Maryland rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.79 / $5.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.99 / $8.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.99 / $4.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $4.19