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Maryland rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $8.00 / $11.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $8.53 / $8.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $12.63 / $18.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.30 / $9.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $8.84