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Maine rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Facilitymedian $11 · 10th–90th $7–$140%20%10th90th$11Professionalmedian $11 · 10th–90th $8–$180%10%10th90th$11$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.41 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $16.22 / $16.60