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Maine rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $29.93 / $29.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $26.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $41.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.54 / $42.54 / $42.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $29.93 / $39.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $26.13 / $72.20