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Maine rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $22.60 / $22.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $31.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $26.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $32.11 / $32.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $22.60 / $29.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $19.64 / $45.18