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Maine rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

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