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Maine rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $9.83 / $9.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $13.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $9.83 / $13.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $8.55 / $19.66