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Maine 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
$3.45 / $7.25 / $7.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $9.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.78 / $8.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.25 / $9.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.30 / $14.50