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Maine rates for HCPCS A4388

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

Facilitymedian $4 · 10th–90th $2–$50%20%10th90th$4Professionalmedian $4 · 10th–90th $2–$50%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
$2.00 / $3.02 / $12.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $4.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.46
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $5.25 / $5.37