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Maine rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Facilitymedian $26 · 10th–90th $17–$340%20%10th90th$26Professionalmedian $27 · 10th–90th $18–$400%10%10th90th$27$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $44.67
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $37.15 / $38.02