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Maine rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $4 · 10th–90th $3–$60%20%10th90th$4Professionalmedian $4 · 10th–90th $3–$60%10%20%10th90th$4$1.0$2.0$5.0$10.0$20.0

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
$1.95 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.01
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $7.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $7.41
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.98 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $6.17 / $6.17