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Maryland rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $6.25 / $8.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $6.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $9.86 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.93 / $7.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $6.91