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Maryland rates for HCPCS A4390

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.50 / $11.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.08 / $9.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $13.41 / $19.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $6.70 / $10.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $9.39