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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
$2.00 / $3.02 / $5.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $6.17 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.29 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.02 / $4.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.13