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Maine rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $2.08 / $2.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.92 / $2.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $2.08 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $5.01