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Maine rates for HCPCS A4382

Ostomy pouch, urinary, for use on faceplate, heavy plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $19.73 / $19.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $17.23 / $17.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $20.66 / $27.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.32 / $24.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $28.04 / $28.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $19.73 / $26.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $17.16 / $39.45