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Maryland rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $7.23 / $10.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $11.42 / $16.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.69 / $9.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.99