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Maine rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $10.88 / $10.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $9.67 / $9.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $11.60 / $14.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.24 / $13.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $15.47 / $15.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $10.88 / $14.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.46 / $21.75