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Maine rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $32.45 / $32.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $28.34 / $28.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $44.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $39.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $46.13 / $46.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $32.45 / $42.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $28.22 / $64.89