go back

Maine rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $3.50 / $3.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.25 / $4.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $3.50 / $4.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.35 / $2.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.04 / $7.00